Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.29 / $51.29 / $51.29	Facility	26	$51.29	$51.29	$51.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $85.11 / $177.83	Professional		$66.07	$85.11	$177.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $46.77 / $100.00	Professional	26	$37.15	$46.77	$100.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $38.90 / $64.57	Professional	TC	$23.99	$38.90	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $100.00 / $234.42	Professional		$74.13	$100.00	$234.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $61.66 / $120.23	Professional	26	$40.74	$61.66	$120.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $40.74 / $70.79	Professional	TC	$26.30	$40.74	$70.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $117.49	Professional		$32.36	$33.11	$117.49
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $67.61 / $67.61 / $67.61	Facility	26	$67.61	$67.61	$67.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $147.91 / $309.03	Professional		$112.20	$147.91	$309.03
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $85.11 / $275.42	Professional	26	$64.57	$85.11	$275.42
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $53.70 / $83.18	Professional	TC	$36.31	$53.70	$83.18
Select Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $123.03 / $147.91	Professional		$74.13	$123.03	$147.91
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $64.57 / $89.13	Professional	26	$38.90	$64.57	$89.13
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $51.29 / $60.26	Professional	TC	$34.67	$51.29	$60.26
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $64.57 / $128.82	Professional		$45.71	$64.57	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $81.28 / $120.23	Professional		$61.66	$81.28	$120.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $48.98 / $67.61	Professional	26	$36.31	$48.98	$67.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $30.90 / $51.29	Professional	TC	$21.38	$30.90	$51.29