Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.03 / $6.03 / $6.03	Facility	26	$6.03	$6.03	$6.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $21.88 / $36.31	Professional		$12.88	$21.88	$36.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.00 / $3.98 / $6.92	Professional	26	$2.00	$3.98	$6.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $15.85 / $26.30	Professional	TC	$10.96	$15.85	$26.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $27.54 / $36.31	Professional		$14.79	$27.54	$36.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.69 / $5.75 / $10.00	Professional	26	$2.69	$5.75	$10.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.02 / $20.42 / $28.84	Professional	TC	$12.02	$20.42	$28.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $38.02	Professional		$32.36	$33.11	$38.02
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $102.33 / $102.33 / $102.33	Facility	26	$102.33	$102.33	$102.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $23.99 / $57.54	Professional		$16.22	$23.99	$57.54
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $2.88 / $4.68 / $38.90	Professional	26	$2.88	$4.68	$38.90
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $13.49 / $19.95 / $42.66	Professional	TC	$13.49	$19.95	$42.66
Select Health Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $26.30 / $36.31	Professional		$14.79	$26.30	$36.31
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $2.45 / $4.90 / $8.91	Professional	26	$2.45	$4.90	$8.91
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $12.59 / $21.38 / $23.99	Professional	TC	$12.59	$21.38	$23.99
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $22.91 / $34.67	Professional		$5.13	$22.91	$34.67
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $23.99 / $38.02	Professional		$15.85	$23.99	$38.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $2.82 / $5.25 / $8.32	Professional	26	$2.82	$5.25	$8.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.18 / $18.62 / $30.20	Professional	TC	$13.18	$18.62	$30.20