Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $102.33 / $102.33 / $102.33	Facility	26	$102.33	$102.33	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $85.11 / $213.80	Professional		$57.54	$85.11	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $162.18 / $275.42	Professional		$77.62	$162.18	$275.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $309.03	Professional		$32.36	$33.11	$309.03
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $204.17 / $204.17 / $204.17	Facility	26	$204.17	$204.17	$204.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $204.17 / $562.34	Professional		$95.50	$204.17	$562.34
Select Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $104.71 / $194.98	Professional		$66.07	$104.71	$194.98
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $67.61 / $147.91	Professional		$41.69	$67.61	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $107.15 / $186.21	Professional		$79.43	$107.15	$186.21