Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.90 / $30.90 / $30.90	Facility	26	$30.90	$30.90	$30.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $162.18 / $363.08	Professional		$125.89	$162.18	$363.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $102.33 / $128.82 / $295.12	Professional	TC	$102.33	$128.82	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $199.53 / $323.59	Professional		$147.91	$199.53	$323.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $165.96 / $263.03	Professional	TC	$112.20	$165.96	$263.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $158.49	Professional		$32.36	$33.11	$158.49
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 $177.83 / $234.42 / $323.59	Professional		$177.83	$234.42	$323.59
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $199.53 / $263.03	Professional	TC	$151.36	$199.53	$263.03
Select Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $281.84 / $331.13	Professional		$162.18	$281.84	$331.13
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $234.42 / $275.42	Professional	TC	$134.90	$234.42	$275.42
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $199.53 / $316.23	Professional		$36.31	$199.53	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $169.82 / $251.19	Professional		$112.20	$169.82	$251.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $141.25 / $208.93	Professional	TC	$87.10	$141.25	$208.93