Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.91 / $8.91 / $8.91	Facility	26	$8.91	$8.91	$8.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $38.90 / $138.04	Professional		$23.99	$38.90	$138.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $9.55 / $32.36	Professional	26	$6.46	$9.55	$32.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $21.38 / $44.67	Professional	TC	$15.85	$21.38	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $37.15 / $56.23	Professional		$30.20	$37.15	$56.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.72 / $15.49	Professional	26	$7.94	$10.72	$15.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $26.92 / $44.67	Professional	TC	$21.38	$26.92	$44.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $33.11 / $107.15	Professional		$20.42	$33.11	$107.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $52.48 / $218.78	Professional		$37.15	$52.48	$218.78
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $14.79 / $19.95	Professional	26	$10.47	$14.79	$19.95
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $38.02 / $131.83	Professional	TC	$26.92	$38.02	$131.83
Select Health Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $38.02 / $52.48	Professional		$23.99	$38.02	$52.48
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $11.22 / $15.49	Professional	26	$7.24	$11.22	$15.49
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $26.92 / $37.15	Professional	TC	$16.98	$26.92	$37.15
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $28.18 / $52.48	Professional		$10.23	$28.18	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $33.11 / $53.70	Professional		$23.44	$33.11	$53.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $8.32 / $14.13	Professional	26	$6.46	$8.32	$14.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $23.44 / $38.02	Professional	TC	$16.22	$23.44	$38.02