Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $45.71 / $173.78	Professional		$19.95	$45.71	$173.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.37 / $18.20 / $50.12	Professional	26	$5.37	$18.20	$50.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $39.81 / $54.95	Professional	TC	$15.85	$39.81	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $33.88 / $75.86	Professional		$22.39	$33.88	$75.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.31 / $8.51 / $15.85	Professional	26	$3.31	$8.51	$15.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $28.18 / $61.66	Professional	TC	$19.05	$28.18	$61.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $43.65 / $48.98	Professional		$33.88	$43.65	$48.98
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $10.23 / $12.02	Professional	26	$7.24	$10.23	$12.02
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $33.11 / $36.31	Professional	TC	$26.92	$33.11	$36.31
Select Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $48.98 / $67.61	Professional		$33.88	$48.98	$67.61
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $10.23 / $16.22	Professional	26	$6.76	$10.23	$16.22
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $38.90 / $51.29	Professional	TC	$26.92	$38.90	$51.29
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $29.51 / $57.54	Professional		$8.32	$29.51	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $31.62 / $57.54	Professional		$19.05	$31.62	$57.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.98 / $4.47 / $10.23	Professional	26	$3.98	$4.47	$10.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $25.12 / $47.86	Professional	TC	$14.45	$25.12	$47.86