Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.91 / $15.14 / $15.14	Facility	26	$8.91	$15.14	$15.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $63.10 / $199.53	Professional		$52.48	$63.10	$199.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $9.55 / $34.67	Professional	26	$7.59	$9.55	$34.67
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $39.81 / $39.81 / $39.81	Professional	52	$39.81	$39.81	$39.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $50.12 / $97.72	Professional	TC	$42.66	$50.12	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $70.79 / $109.65	Professional		$48.98	$70.79	$109.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $11.75 / $18.20	Professional	26	$8.13	$11.75	$18.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $40.74 / $60.26 / $93.33	Professional	TC	$40.74	$60.26	$93.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $102.33	Professional		$32.36	$33.11	$102.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $79.43 / $120.23	Professional		$61.66	$79.43	$120.23
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $12.02 / $20.89	Professional	26	$9.33	$12.02	$20.89
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $67.61 / $100.00	Professional	TC	$52.48	$67.61	$100.00
Select Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $100.00 / $131.83	Professional		$57.54	$100.00	$131.83
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $15.85 / $22.91	Professional	26	$8.91	$15.85	$22.91
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $77.62 / $87.10	Professional	TC	$50.12	$77.62	$87.10
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $66.07 / $91.20	Professional		$11.75	$66.07	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $63.10 / $93.33	Professional		$48.98	$63.10	$93.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $9.77 / $15.49	Professional	26	$7.76	$9.77	$15.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $52.48 / $79.43	Professional	TC	$41.69	$52.48	$79.43