Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $162.18 / $162.18	Facility	26	$70.79	$162.18	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $234.42 / $954.99	Professional		$134.90	$234.42	$954.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $75.86 / $208.93	Professional	26	$35.48	$75.86	$208.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $144.54 / $302.00	Professional	TC	$100.00	$144.54	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $245.47 / $331.13	Professional		$181.97	$245.47	$331.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $63.10 / $87.10	Professional	26	$39.81	$63.10	$87.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $173.78 / $251.19	Professional	TC	$134.90	$173.78	$251.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $269.15	Professional		$32.36	$33.11	$269.15
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 $181.97 / $251.19 / $323.59	Professional		$181.97	$251.19	$323.59
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $58.88 / $97.72	Professional	26	$42.66	$58.88	$97.72
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $181.97 / $234.42	Professional	TC	$138.04	$181.97	$234.42
Select Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $281.84 / $398.11	Professional		$138.04	$281.84	$398.11
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $69.18 / $102.33	Professional	26	$36.31	$69.18	$102.33
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $208.93 / $302.00	Professional	TC	$100.00	$208.93	$302.00
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $177.83 / $269.15	Professional		$53.70	$177.83	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $204.17 / $331.13	Professional		$144.54	$204.17	$331.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $50.12 / $89.13	Professional	26	$33.88	$50.12	$89.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $154.88 / $257.04	Professional	TC	$109.65	$154.88	$257.04