Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.91 / $22.91 / $22.91	Facility	26	$22.91	$22.91	$22.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $169.82 / $302.00	Professional		$114.82	$169.82	$302.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $25.12 / $58.88	Professional	26	$20.89	$25.12	$58.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $131.83 / $239.88	Professional	TC	$91.20	$131.83	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $190.55 / $257.04	Professional		$138.04	$190.55	$257.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $30.20 / $50.12	Professional	26	$22.91	$30.20	$50.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $154.88 / $213.80	Professional	TC	$112.20	$154.88	$213.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $138.04	Professional		$32.36	$33.11	$138.04
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $199.53 / $199.53 / $199.53	Facility	26	$199.53	$199.53	$199.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $177.83 / $229.09	Professional		$144.54	$177.83	$229.09
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $34.67 / $177.83	Professional	26	$26.30	$34.67	$177.83
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $117.49 / $144.54 / $181.97	Professional	TC	$117.49	$144.54	$181.97
Select Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $218.78 / $316.23	Professional		$117.49	$218.78	$316.23
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $42.66 / $66.07	Professional	26	$22.91	$42.66	$66.07
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $173.78 / $251.19	Professional	TC	$95.50	$173.78	$251.19
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $141.25 / $208.93	Professional		$31.62	$141.25	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $158.49 / $263.03	Professional		$112.20	$158.49	$263.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $27.54 / $42.66	Professional	26	$20.89	$27.54	$42.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $128.82 / $223.87	Professional	TC	$91.20	$128.82	$223.87