Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $1,479.11 / $3,801.89	Facility		$269.15	$1,479.11	$3,801.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $245.47 / $524.81	Professional		$87.10	$245.47	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $691.83 / $724.44	Facility		$562.34	$691.83	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $109.65 / $575.44	Professional		$74.13	$109.65	$575.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $44.67 / $60.26	Professional		$30.20	$44.67	$60.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $269.15 / $407.38	Facility		$147.91	$269.15	$407.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $162.18 / $190.55	Professional		$134.90	$162.18	$190.55
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $114.82 / $158.49	Professional		$26.92	$114.82	$158.49