Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $3,019.95 / $4,570.88	Facility		$107.15	$3,019.95	$4,570.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $93.33 / $213.80	Professional		$47.86	$93.33	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $102.33 / $147.91	Professional		$67.61	$102.33	$147.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $251.19	Professional		$32.36	$33.11	$251.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $524.81 / $1,584.89	Facility		$446.68	$524.81	$1,584.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $112.20 / $158.49	Professional		$60.26	$112.20	$158.49
Select Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $100.00 / $173.78	Professional		$63.10	$100.00	$173.78
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $120.23 / $177.83	Professional		$67.61	$120.23	$177.83
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 $52.48 / $83.18 / $128.82	Professional		$52.48	$83.18	$128.82