Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $549.54 / $724.44	Facility		$100.00	$549.54	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $85.11 / $141.25	Professional		$61.66	$85.11	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $81.28 / $251.19	Facility		$77.62	$81.28	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $165.96 / $489.78	Facility		$91.20	$165.96	$489.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $91.20 / $128.82	Professional		$77.62	$91.20	$128.82
Select Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $91.20	Professional		$64.57	$64.57	$91.20
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $81.28 / $138.04	Professional		$72.44	$81.28	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $47.86 / $54.95	Professional		$38.90	$47.86	$54.95