Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $70.79 / $144.54	Professional		$46.77	$70.79	$144.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $25.70 / $63.10	Professional	26	$16.98	$25.70	$63.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $36.31 / $63.10	Professional	TC	$26.92	$36.31	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $75.86 / $114.82	Professional		$50.12	$75.86	$114.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $33.88 / $44.67	Professional	26	$21.88	$33.88	$44.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $47.86 / $66.07	Professional	TC	$28.18	$47.86	$66.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $208.93	Professional		$32.36	$33.11	$208.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $89.13 / $407.38	Professional		$72.44	$89.13	$407.38
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $41.69 / $165.96	Professional	26	$30.20	$41.69	$165.96
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $51.29 / $239.88	Professional	TC	$42.66	$51.29	$239.88
Select Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $77.62 / $112.20	Professional		$60.26	$77.62	$112.20
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $33.11 / $40.74	Professional	26	$25.70	$33.11	$40.74
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $43.65 / $61.66	Professional	TC	$33.88	$43.65	$61.66
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $52.48 / $144.54	Professional		$37.15	$52.48	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $64.57 / $89.13	Professional		$53.70	$64.57	$89.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $26.30 / $38.90	Professional	26	$22.39	$26.30	$38.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $37.15 / $53.70	Professional	TC	$30.20	$37.15	$53.70