Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.20 / $30.20 / $30.20	Facility	26	$30.20	$30.20	$30.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $64.57 / $194.98	Professional		$34.67	$64.57	$194.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $32.36 / $81.28	Professional	26	$22.91	$32.36	$81.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.13 / $23.99 / $102.33	Professional	TC	$14.13	$23.99	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $93.33 / $134.90	Professional		$47.86	$93.33	$134.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $36.31 / $50.12	Professional	26	$28.18	$36.31	$50.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $58.88 / $89.13	Professional	TC	$19.05	$58.88	$89.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $151.36	Professional		$32.36	$33.11	$151.36
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 $58.88 / $67.61 / $162.18	Professional		$58.88	$67.61	$162.18
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $40.74 / $58.88	Professional	26	$35.48	$40.74	$58.88
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $26.92 / $102.33	Professional	TC	$23.44	$26.92	$102.33
Select Health Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $74.13 / $144.54	Professional		$38.02	$74.13	$144.54
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $43.65 / $57.54	Professional	26	$22.91	$43.65	$57.54
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $15.49 / $29.51 / $91.20	Professional	TC	$15.49	$29.51	$91.20
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $42.66 / $79.43	Professional		$26.92	$42.66	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $85.11 / $102.33	Professional		$47.86	$85.11	$102.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $33.11 / $43.65	Professional	26	$28.18	$33.11	$43.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $47.86 / $67.61	Professional	TC	$23.99	$47.86	$67.61