Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $10.00 / $10.00	Facility	26	$10.00	$10.00	$10.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $83.18 / $114.82	Professional		$64.57	$83.18	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $109.65 / $147.91	Professional		$89.13	$109.65	$147.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $38.02 / $134.90	Professional		$32.36	$38.02	$134.90
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $691.83 / $691.83 / $691.83	Facility	26	$691.83	$691.83	$691.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $151.36 / $169.82	Professional		$120.23	$151.36	$169.82
Select Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $123.03 / $194.98	Professional		$83.18	$123.03	$194.98
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $100.00 / $151.36	Professional		$12.59	$100.00	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $87.10 / $144.54	Professional		$70.79	$87.10	$144.54