Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.89 / $891.25 / $891.25	Facility	26	$20.89	$891.25	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $112.20 / $549.54	Professional		$67.61	$112.20	$549.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $25.70 / $70.79	Professional	26	$15.14	$25.70	$70.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $93.33 / $165.96	Professional	TC	$56.23	$93.33	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $128.82 / $199.53	Professional		$85.11	$128.82	$199.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $25.70 / $38.02	Professional	26	$17.78	$25.70	$38.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $100.00 / $158.49	Professional	TC	$64.57	$100.00	$158.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $117.49	Professional		$32.36	$33.11	$117.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $154.88 / $190.55	Professional		$138.04	$154.88	$190.55
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $33.11 / $52.48	Professional	26	$24.55	$33.11	$52.48
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $104.71 / $123.03 / $158.49	Professional	TC	$104.71	$123.03	$158.49
Select Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $154.88 / $204.17	Professional		$93.33	$154.88	$204.17
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $28.84 / $38.90	Professional	26	$16.60	$28.84	$38.90
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $120.23 / $151.36	Professional	TC	$74.13	$120.23	$151.36
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $123.03 / $181.97	Professional		$25.70	$123.03	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $97.72 / $173.78	Professional		$83.18	$97.72	$173.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $19.05 / $31.62	Professional	26	$17.38	$19.05	$31.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $66.07 / $79.43 / $144.54	Professional	TC	$66.07	$79.43	$144.54