Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.92 / $281.84 / $281.84	Facility	26	$26.92	$281.84	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $70.79 / $234.42	Professional		$38.90	$70.79	$234.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $44.67 / $128.82	Professional	26	$20.89	$44.67	$128.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $22.91 / $54.95	Professional	TC	$16.98	$22.91	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $63.10 / $97.72	Professional		$45.71	$63.10	$97.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $33.11 / $51.29	Professional	26	$23.44	$33.11	$51.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $28.18 / $57.54	Professional	TC	$19.95	$28.18	$57.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $144.54	Professional		$32.36	$33.11	$144.54
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $199.53 / $199.53 / $199.53	Facility	26	$199.53	$199.53	$199.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $85.11 / $245.47	Professional		$63.10	$85.11	$245.47
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $45.71 / $128.82	Professional	26	$33.11	$45.71	$128.82
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $39.81 / $114.82	Professional	TC	$30.20	$39.81	$114.82
Select Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $69.18 / $100.00	Professional		$43.65	$69.18	$100.00
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $37.15 / $56.23	Professional	26	$23.44	$37.15	$56.23
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $31.62 / $44.67	Professional	TC	$19.95	$31.62	$44.67
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $39.81 / $89.13	Professional		$28.84	$39.81	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $48.98 / $79.43	Professional		$44.67	$48.98	$79.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $25.70 / $42.66	Professional	26	$23.99	$25.70	$42.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $22.39 / $38.02	Professional	TC	$20.89	$22.39	$38.02