Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.36 / $32.36 / $32.36	Facility	26	$32.36	$32.36	$32.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $114.82 / $407.38	Professional		$50.12	$114.82	$407.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $58.88 / $154.88	Professional	26	$25.70	$58.88	$154.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.00 / $28.18 / $97.72	Professional	TC	$10.00	$28.18	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $120.23 / $181.97	Professional		$63.10	$120.23	$181.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $41.69 / $72.44	Professional	26	$31.62	$41.69	$72.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.18 / $83.18 / $141.25	Professional	TC	$13.18	$83.18	$141.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $77.62	Professional		$32.36	$33.11	$77.62
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 $79.43 / $162.18 / $239.88	Professional		$79.43	$162.18	$239.88
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $61.66 / $74.13	Professional	26	$50.12	$61.66	$74.13
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $57.54 / $173.78	Professional	TC	$16.22	$57.54	$173.78
Select Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $83.18 / $165.96	Professional		$52.48	$83.18	$165.96
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $67.61 / $74.13	Professional	26	$41.69	$67.61	$74.13
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $10.23 / $16.22 / $95.50	Professional	TC	$10.23	$16.22	$95.50
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $69.18 / $107.15	Professional		$15.14	$69.18	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $91.20 / $141.25	Professional		$63.10	$91.20	$141.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $32.36 / $53.70	Professional	26	$30.90	$32.36	$53.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.22 / $46.77 / $97.72	Professional	TC	$11.22	$46.77	$97.72