Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $53.70 / $117.49	Professional		$34.67	$53.70	$117.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $56.23 / $117.49	Professional	26	$25.12	$56.23	$117.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.02 / $18.20 / $33.11	Professional	TC	$12.02	$18.20	$33.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $61.66 / $102.33	Professional		$27.54	$61.66	$102.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $43.65 / $91.20	Professional	26	$16.98	$43.65	$91.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.00 / $20.89 / $38.90	Professional	TC	$10.00	$20.89	$38.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $70.79 / $83.18	Professional		$57.54	$70.79	$83.18
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $47.86 / $109.65	Professional	26	$36.31	$47.86	$109.65
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $24.55 / $28.18	Professional	TC	$21.88	$24.55	$28.18
Select Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $85.11 / $125.89	Professional		$56.23	$85.11	$125.89
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $52.48 / $85.11	Professional	26	$33.88	$52.48	$85.11
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $23.99 / $41.69	Professional	TC	$22.39	$23.99	$41.69
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $43.65 / $97.72	Professional		$18.20	$43.65	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $34.67 / $85.11	Professional		$33.11	$34.67	$85.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $22.91 / $53.70	Professional	26	$20.42	$22.91	$53.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.75 / $13.49 / $30.20	Professional	TC	$11.75	$13.49	$30.20