Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.48 / $52.48 / $52.48	Facility	26	$52.48	$52.48	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $144.54 / $281.84	Professional		$114.82	$144.54	$281.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $48.98 / $107.15	Professional	26	$39.81	$48.98	$107.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $93.33 / $158.49	Professional	TC	$72.44	$93.33	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $199.53 / $302.00	Professional		$144.54	$199.53	$302.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $64.57 / $100.00	Professional	26	$54.95	$64.57	$100.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $131.83 / $194.98	Professional	TC	$91.20	$131.83	$194.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $177.83	Professional		$32.36	$33.11	$177.83
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 $131.83 / $199.53 / $398.11	Professional		$131.83	$199.53	$398.11
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $69.18 / $100.00	Professional	26	$47.86	$69.18	$100.00
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $128.82 / $309.03	Professional	TC	$85.11	$128.82	$309.03
Select Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $190.55 / $234.42	Professional		$117.49	$190.55	$234.42
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $72.44 / $112.20	Professional	26	$42.66	$72.44	$112.20
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $117.49 / $144.54	Professional	TC	$74.13	$117.49	$144.54
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $114.82 / $213.80	Professional		$60.26	$114.82	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $158.49 / $257.04	Professional		$109.65	$158.49	$257.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $52.48 / $77.62	Professional	26	$39.81	$52.48	$77.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $69.18 / $102.33 / $177.83	Professional	TC	$69.18	$102.33	$177.83