Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.90 / $30.90 / $30.90	Facility	26	$30.90	$30.90	$30.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $128.82 / $275.42	Professional		$91.20	$128.82	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $151.36 / $245.47	Professional		$102.33	$151.36	$245.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $165.96	Professional		$32.36	$33.11	$165.96
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $676.08 / $676.08 / $676.08	Facility	26	$676.08	$676.08	$676.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $223.87 / $257.04	Professional		$190.55	$223.87	$257.04
Select Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $199.53 / $257.04	Professional		$123.03	$199.53	$257.04
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $147.91 / $257.04	Professional		$38.90	$147.91	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $120.23 / $213.80	Professional		$100.00	$120.23	$213.80