Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.90 / $38.90 / $38.90	Facility	26	$38.90	$38.90	$38.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $169.82 / $407.38	Professional		$114.82	$169.82	$407.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $39.81 / $141.25	Professional	26	$28.84	$39.81	$141.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $102.33 / $181.97	Professional	TC	$83.18	$102.33	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $177.83 / $331.13	Professional		$114.82	$177.83	$331.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $44.67 / $70.79	Professional	26	$30.90	$44.67	$70.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $70.79 / $134.90 / $263.03	Professional	TC	$70.79	$134.90	$263.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $75.86	Professional		$32.36	$33.11	$75.86
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 $186.21 / $275.42 / $380.19	Professional		$186.21	$275.42	$380.19
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $61.66 / $93.33	Professional	26	$44.67	$61.66	$93.33
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $204.17 / $323.59	Professional	TC	$120.23	$204.17	$323.59
Select Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $302.00 / $331.13	Professional		$114.82	$302.00	$331.13
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $51.29 / $74.13	Professional	26	$30.90	$51.29	$74.13
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $251.19 / $263.03	Professional	TC	$83.18	$251.19	$263.03
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $173.78 / $346.74	Professional		$45.71	$173.78	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $158.49 / $263.03	Professional		$97.72	$158.49	$263.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $34.67 / $56.23	Professional	26	$31.62	$34.67	$56.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $125.89 / $208.93	Professional	TC	$63.10	$125.89	$208.93