Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.48 / $52.48 / $52.48	Facility	26	$52.48	$52.48	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $114.82 / $512.86	Professional		$75.86	$114.82	$512.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $67.61 / $120.23	Professional	26	$41.69	$67.61	$120.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $50.12 / $81.28	Professional	TC	$34.67	$50.12	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $138.04 / $204.17	Professional		$109.65	$138.04	$204.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $66.07 / $93.33	Professional	26	$58.88	$66.07	$93.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $70.79 / $138.04	Professional	TC	$51.29	$70.79	$138.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $169.82	Professional		$32.36	$33.11	$169.82
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $616.60 / $616.60 / $616.60	Facility	26	$616.60	$616.60	$616.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $162.18 / $186.21	Professional		$141.25	$162.18	$186.21
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $87.10 / $102.33	Professional	26	$74.13	$87.10	$102.33
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $66.07 / $75.86 / $83.18	Professional	TC	$66.07	$75.86	$83.18
Select Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $169.82 / $213.80	Professional		$89.13	$169.82	$213.80
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $93.33 / $112.20	Professional	26	$47.86	$93.33	$112.20
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $40.74 / $79.43 / $91.20	Professional	TC	$40.74	$79.43	$91.20
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $87.10 / $186.21	Professional		$57.54	$87.10	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $123.03 / $181.97	Professional		$112.20	$123.03	$181.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $63.10 / $87.10	Professional	26	$54.95	$63.10	$87.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $64.57 / $89.13	Professional	TC	$53.70	$64.57	$89.13