Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $3,162.28 / $4,570.88	Facility		$144.54	$3,162.28	$4,570.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $97.72 / $199.53	Professional		$70.79	$97.72	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $123.03 / $173.78	Professional		$95.50	$123.03	$173.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $229.09	Professional		$32.36	$33.11	$229.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $512.86 / $1,148.15	Facility		$436.52	$512.86	$1,148.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $204.17 / $251.19	Professional		$123.03	$204.17	$251.19
Select Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $190.55 / $263.03	Professional		$67.61	$190.55	$263.03
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $141.25 / $177.83	Professional		$114.82	$141.25	$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 $79.43 / $109.65 / $177.83	Professional		$79.43	$109.65	$177.83