Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.20 / $18.20 / $18.20	Facility	26	$18.20	$18.20	$18.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $52.48 / $75.86	Professional		$40.74	$52.48	$75.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $15.14 / $23.99	Professional	26	$12.02	$15.14	$23.99
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $36.31 / $53.70	Professional	TC	$28.18	$36.31	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $70.79 / $109.65	Professional		$47.86	$70.79	$109.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $21.88 / $39.81	Professional	26	$14.45	$21.88	$39.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $50.12 / $75.86	Professional	TC	$31.62	$50.12	$75.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $60.26	Professional		$32.36	$33.11	$60.26
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 $70.79 / $97.72 / $128.82	Professional		$70.79	$97.72	$128.82
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $29.51 / $97.72	Professional	26	$22.39	$29.51	$97.72
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $67.61 / $91.20	Professional	TC	$48.98	$67.61	$91.20
Select Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $63.10 / $102.33	Professional		$37.15	$63.10	$102.33
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $21.88 / $31.62	Professional	26	$12.88	$21.88	$31.62
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $41.69 / $61.66	Professional	TC	$23.99	$41.69	$61.66
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $43.65 / $67.61	Professional		$18.62	$43.65	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $58.88 / $85.11	Professional		$43.65	$58.88	$85.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $17.38 / $25.12	Professional	26	$12.88	$17.38	$25.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $40.74 / $61.66	Professional	TC	$30.90	$40.74	$61.66