Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.11 / $83.18 / $89.13	Facility	26	$33.11	$83.18	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $64.57 / $229.09	Professional		$48.98	$64.57	$229.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $51.29 / $134.90	Professional	26	$26.30	$51.29	$134.90
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $23.99 / $47.86 / $263.03	Professional	52	$23.99	$47.86	$263.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $27.54 / $141.25	Professional	TC	$19.95	$27.54	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $72.44 / $109.65	Professional		$50.12	$72.44	$109.65
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 $22.91 / $31.62 / $48.98	Professional	TC	$22.91	$31.62	$48.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $57.54	Professional		$32.36	$33.11	$57.54
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $46.77 / $46.77 / $46.77	Facility	26	$46.77	$46.77	$46.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $97.72 / $117.49	Professional		$74.13	$97.72	$117.49
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $53.70 / $66.07	Professional	26	$39.81	$53.70	$66.07
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $43.65 / $52.48	Professional	TC	$33.88	$43.65	$52.48
Select Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $72.44 / $85.11	Professional		$47.86	$72.44	$85.11
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $44.67 / $51.29	Professional	26	$26.92	$44.67	$51.29
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $32.36 / $38.02	Professional	TC	$21.38	$32.36	$38.02
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $47.86 / $97.72	Professional		$33.88	$47.86	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $61.66 / $93.33	Professional		$50.12	$61.66	$93.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $33.88 / $50.12	Professional	26	$28.84	$33.88	$50.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $28.18 / $41.69	Professional	TC	$23.99	$28.18	$41.69