Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.11 / $33.11 / $33.11	Facility	26	$33.11	$33.11	$33.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $117.49 / $239.88	Professional		$91.20	$117.49	$239.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $30.90 / $75.86	Professional	26	$23.99	$30.90	$75.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $79.43 / $151.36	Professional	TC	$61.66	$79.43	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $138.04 / $208.93	Professional		$102.33	$138.04	$208.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $39.81 / $60.26	Professional	26	$27.54	$39.81	$60.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $70.79 / $97.72 / $154.88	Professional	TC	$70.79	$97.72	$154.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $173.78	Professional		$32.36	$33.11	$173.78
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 $147.91 / $181.97 / $223.87	Professional		$147.91	$181.97	$223.87
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $52.48 / $64.57	Professional	26	$38.90	$52.48	$64.57
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $107.15 / $131.83 / $158.49	Professional	TC	$107.15	$131.83	$158.49
Select Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $162.18 / $213.80	Professional		$107.15	$162.18	$213.80
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $44.67 / $61.66	Professional	26	$28.18	$44.67	$61.66
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $75.86 / $117.49 / $151.36	Professional	TC	$75.86	$117.49	$151.36
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $120.23 / $190.55	Professional		$40.74	$120.23	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $109.65 / $181.97	Professional		$102.33	$109.65	$181.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $30.20 / $50.12	Professional	26	$28.84	$30.20	$50.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $79.43 / $131.83	Professional	TC	$74.13	$79.43	$131.83