Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.11 / $33.11 / $33.11	Facility	26	$33.11	$33.11	$33.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $67.61 / $173.78	Professional		$56.23	$67.61	$173.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $38.90 / $77.62	Professional	26	$25.12	$38.90	$77.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $34.67 / $66.07	Professional	TC	$30.20	$34.67	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $75.86 / $123.03	Professional		$53.70	$75.86	$123.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $37.15 / $57.54	Professional	26	$25.70	$37.15	$57.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $40.74 / $64.57	Professional	TC	$29.51	$40.74	$64.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $186.21	Professional		$32.36	$33.11	$186.21
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $478.63 / $478.63 / $478.63	Facility	26	$478.63	$478.63	$478.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $83.18 / $660.69	Professional		$66.07	$83.18	$660.69
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $38.02 / $151.36	Professional	26	$29.51	$38.02	$151.36
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $45.71 / $512.86	Professional	TC	$36.31	$45.71	$512.86
Select Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $102.33 / $141.25	Professional		$64.57	$102.33	$141.25
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $50.12 / $70.79	Professional	26	$27.54	$50.12	$70.79
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $57.54 / $67.61	Professional	TC	$37.15	$57.54	$67.61
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $54.95 / $104.71	Professional		$36.31	$54.95	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $66.07 / $104.71	Professional		$51.29	$66.07	$104.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $31.62 / $48.98	Professional	26	$25.12	$31.62	$48.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $37.15 / $54.95	Professional	TC	$26.92	$37.15	$54.95