Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $10.00 / $10.00	Facility	26	$10.00	$10.00	$10.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $32.36 / $77.62	Professional		$25.12	$32.36	$77.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $9.77 / $26.92	Professional	26	$7.94	$9.77	$26.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.13 / $21.38 / $40.74	Professional	TC	$14.13	$21.38	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $40.74 / $67.61	Professional		$28.84	$40.74	$67.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $14.13 / $21.88	Professional	26	$10.00	$14.13	$21.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $26.92 / $43.65	Professional	TC	$17.38	$26.92	$43.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $33.11 / $60.26	Professional		$20.89	$33.11	$60.26
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $147.91 / $147.91 / $147.91	Facility	26	$147.91	$147.91	$147.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $53.70 / $95.50	Professional		$44.67	$53.70	$95.50
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $18.20 / $28.18	Professional	26	$13.49	$18.20	$28.18
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $34.67 / $40.74	Professional	TC	$30.20	$34.67	$40.74
Select Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $48.98 / $64.57	Professional		$29.51	$48.98	$64.57
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $14.79 / $22.39	Professional	26	$8.91	$14.79	$22.39
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $33.11 / $40.74	Professional	TC	$20.42	$33.11	$40.74
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $36.31 / $60.26	Professional		$13.49	$36.31	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.12 / $54.95	Professional		$20.89	$25.12	$54.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $8.13 / $17.38	Professional	26	$7.41	$8.13	$17.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $12.59 / $17.38 / $37.15	Professional	TC	$12.59	$17.38	$37.15