Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.02 / $38.02 / $38.02	Facility	26	$38.02	$38.02	$38.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $107.15 / $251.19	Professional		$69.18	$107.15	$251.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $36.31 / $173.78	Professional	26	$30.90	$36.31	$173.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $69.18 / $125.89	Professional	TC	$33.11	$69.18	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $114.82 / $229.09	Professional		$72.44	$114.82	$229.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $47.86 / $79.43	Professional	26	$40.74	$47.86	$79.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $66.07 / $128.82	Professional	TC	$29.51	$66.07	$128.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $125.89	Professional		$32.36	$33.11	$125.89
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $251.19 / $251.19 / $251.19	Facility	26	$251.19	$251.19	$251.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $151.36 / $213.80	Professional		$102.33	$151.36	$213.80
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $52.48 / $74.13	Professional	26	$36.31	$52.48	$74.13
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $69.18 / $85.11 / $114.82	Professional	TC	$69.18	$85.11	$114.82
Select Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $162.18 / $208.93	Professional		$100.00	$162.18	$208.93
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $56.23 / $85.11	Professional	26	$33.11	$56.23	$85.11
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $66.07 / $107.15 / $125.89	Professional	TC	$66.07	$107.15	$125.89
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $97.72 / $181.97	Professional		$45.71	$97.72	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $97.72 / $154.88	Professional		$60.26	$97.72	$154.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $39.81 / $57.54	Professional	26	$30.20	$39.81	$57.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $61.66 / $97.72	Professional	TC	$25.12	$61.66	$97.72