Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $3,162.28 / $4,570.88	Facility		$74.13	$3,162.28	$4,570.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $74.13 / $87.10	Professional		$61.66	$74.13	$87.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $60.26	Professional		$30.20	$30.20	$60.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $91.20 / $117.49	Professional		$74.13	$91.20	$117.49
Select Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $85.11	Professional		$26.92	$26.92	$85.11
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $93.33 / $109.65	Professional		$79.43	$93.33	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $4,466.84 / $5,128.61	Facility		$1,071.52	$4,466.84	$5,128.61
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $87.10 / $131.83	Professional		$67.61	$87.10	$131.83