Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.86 / $47.86 / $47.86	Facility	26	$47.86	$47.86	$47.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $67.61 / $154.88	Professional		$52.48	$67.61	$154.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $47.86 / $229.09	Professional	26	$38.02	$47.86	$229.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $19.95 / $40.74	Professional	TC	$15.14	$19.95	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $83.18 / $120.23	Professional		$75.86	$83.18	$120.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $60.26 / $85.11	Professional	26	$54.95	$60.26	$85.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $25.12 / $34.67	Professional	TC	$21.88	$25.12	$34.67
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 Facility Modifier 26 Low / Median / High Price $229.09 / $229.09 / $229.09	Facility	26	$229.09	$229.09	$229.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $112.20 / $131.83	Professional		$97.72	$112.20	$131.83
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $79.43 / $95.50	Professional	26	$67.61	$79.43	$95.50
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $33.11 / $37.15	Professional	TC	$28.84	$33.11	$37.15
Select Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $120.23 / $141.25	Professional		$61.66	$120.23	$141.25
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $85.11 / $102.33	Professional	26	$43.65	$85.11	$102.33
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $33.88 / $38.90	Professional	TC	$17.78	$33.88	$38.90
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $67.61 / $123.03	Professional		$25.70	$67.61	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $81.28 / $114.82	Professional		$72.44	$81.28	$114.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $57.54 / $79.43	Professional	26	$50.12	$57.54	$79.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $23.99 / $33.11	Professional	TC	$22.91	$23.99	$33.11