Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $58.88 / $77.62	Professional		$39.81	$58.88	$77.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $20.89 / $30.90	Professional	26	$15.14	$20.89	$30.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $38.02 / $51.29	Professional	TC	$25.12	$38.02	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $77.62 / $147.91	Professional		$29.51	$77.62	$147.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $31.62 / $53.70	Professional	26	$12.02	$31.62	$53.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $46.77 / $102.33	Professional	TC	$17.78	$46.77	$102.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $83.18 / $97.72	Professional		$77.62	$83.18	$97.72
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $33.88 / $38.90	Professional	26	$26.30	$33.88	$38.90
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $44.67 / $51.29 / $67.61	Professional	TC	$44.67	$51.29	$67.61
Select Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $100.00 / $151.36	Professional		$87.10	$100.00	$151.36
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $38.02 / $58.88	Professional	26	$24.55	$38.02	$58.88
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $64.57 / $100.00	Professional	TC	$54.95	$64.57	$100.00
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $66.07 / $144.54	Professional		$29.51	$66.07	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $48.98 / $112.20	Professional		$34.67	$48.98	$112.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $15.85 / $38.02	Professional	26	$14.45	$15.85	$38.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $33.88 / $77.62	Professional	TC	$23.44	$33.88	$77.62