Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.70 / $53.70 / $53.70	Facility	26	$53.70	$53.70	$53.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $75.86 / $154.88	Professional		$64.57	$75.86	$154.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $44.67 / $91.20	Professional	26	$28.84	$44.67	$91.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $36.31 / $63.10	Professional	TC	$22.91	$36.31	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $95.50 / $208.93	Professional		$67.61	$95.50	$208.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $61.66 / $104.71	Professional	26	$36.31	$61.66	$104.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $38.02 / $64.57	Professional	TC	$25.12	$38.02	$64.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $120.23	Professional		$32.36	$33.11	$120.23
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 $104.71 / $138.04 / $251.19	Professional		$104.71	$138.04	$251.19
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $74.13 / $251.19	Professional	26	$56.23	$74.13	$251.19
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $50.12 / $77.62	Professional	TC	$33.88	$50.12	$77.62
Select Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $109.65 / $131.83	Professional		$66.07	$109.65	$131.83
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $56.23 / $77.62	Professional	26	$33.88	$56.23	$77.62
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $47.86 / $56.23	Professional	TC	$32.36	$47.86	$56.23
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $56.23 / $114.82	Professional		$40.74	$56.23	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $75.86 / $112.20	Professional		$58.88	$75.86	$112.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $45.71 / $69.18	Professional	26	$33.11	$45.71	$69.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $28.84 / $47.86	Professional	TC	$20.89	$28.84	$47.86