Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.70 / $128.82 / $128.82	Facility	26	$25.70	$128.82	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $38.02 / $112.20	Professional		$30.20	$38.02	$112.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $25.70 / $87.10	Professional	26	$19.95	$25.70	$87.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.00 / $12.02 / $26.92	Professional	TC	$10.00	$12.02	$26.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $44.67 / $67.61	Professional		$30.20	$44.67	$67.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $30.20 / $45.71	Professional	26	$20.42	$30.20	$45.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.00 / $14.45 / $22.39	Professional	TC	$10.00	$14.45	$22.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $60.26	Professional		$32.36	$33.11	$60.26
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $204.17 / $204.17 / $204.17	Facility	26	$204.17	$204.17	$204.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $43.65 / $66.07	Professional		$37.15	$43.65	$66.07
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $28.84 / $43.65	Professional	26	$23.44	$28.84	$43.65
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $12.59 / $15.14 / $23.44	Professional	TC	$12.59	$15.14	$23.44
Select Health Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $60.26 / $81.28	Professional		$34.67	$60.26	$81.28
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $39.81 / $54.95	Professional	26	$21.88	$39.81	$54.95
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $13.18 / $19.95 / $23.44	Professional	TC	$13.18	$19.95	$23.44
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $32.36 / $56.23	Professional		$16.98	$32.36	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $38.02 / $56.23	Professional		$29.51	$38.02	$56.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $25.12 / $38.02	Professional	26	$19.95	$25.12	$38.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $9.55 / $12.88 / $19.05	Professional	TC	$9.55	$12.88	$19.05