Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.88 / $60.26 / $60.26	Facility	26	$21.88	$60.26	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $61.66 / $186.21	Professional		$29.51	$61.66	$186.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $33.88 / $109.65	Professional	26	$18.62	$33.88	$109.65
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $36.31 / $36.31 / $36.31	Professional	50	$36.31	$36.31	$36.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $9.12 / $28.18 / $81.28	Professional	TC	$9.12	$28.18	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $63.10 / $95.50	Professional		$33.88	$63.10	$95.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $32.36 / $51.29	Professional	26	$22.91	$32.36	$51.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $26.30 / $53.70	Professional	TC	$10.96	$26.30	$53.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $33.11 / $61.66	Professional		$21.88	$33.11	$61.66
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 $61.66 / $79.43 / $112.20	Professional		$61.66	$79.43	$112.20
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $47.86 / $56.23	Professional	26	$38.02	$47.86	$56.23
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $43.65 / $63.10	Professional	TC	$17.78	$43.65	$63.10
Select Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $67.61 / $123.03	Professional		$58.88	$67.61	$123.03
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $51.29 / $53.70	Professional	26	$31.62	$51.29	$53.70
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $12.30 / $23.44 / $67.61	Professional	TC	$12.30	$23.44	$67.61
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $53.70 / $107.15	Professional		$31.62	$53.70	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $57.54 / $87.10	Professional		$35.48	$57.54	$87.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $25.12 / $41.69	Professional	26	$23.44	$25.12	$41.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.22 / $33.11 / $46.77	Professional	TC	$11.22	$33.11	$46.77