Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $53.70 / $91.20	Professional		$46.77	$53.70	$91.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $18.20 / $33.88	Professional	26	$12.02	$18.20	$33.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $33.88 / $56.23	Professional	TC	$32.36	$33.88	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $75.86 / $123.03	Professional		$30.20	$75.86	$123.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $28.18 / $45.71	Professional	26	$10.47	$28.18	$45.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $48.98 / $77.62	Professional	TC	$19.95	$48.98	$77.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $87.10 / $100.00	Professional		$72.44	$87.10	$100.00
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $30.90 / $36.31	Professional	26	$26.92	$30.90	$36.31
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $56.23 / $63.10	Professional	TC	$46.77	$56.23	$63.10
Select Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $97.72 / $162.18	Professional		$66.07	$97.72	$162.18
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $35.48 / $63.10	Professional	26	$23.99	$35.48	$63.10
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $60.26 / $100.00	Professional	TC	$42.66	$60.26	$100.00
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $48.98 / $112.20	Professional		$28.84	$48.98	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $44.67 / $97.72	Professional		$40.74	$44.67	$97.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $16.60 / $36.31	Professional	26	$12.88	$16.60	$36.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $32.36 / $61.66	Professional	TC	$25.70	$32.36	$61.66