Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $173.78 / $302.00	Facility		$89.13	$173.78	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $95.50 / $251.19	Professional		$77.62	$95.50	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $104.71 / $165.96	Professional		$67.61	$104.71	$165.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $60.26	Professional		$32.36	$33.11	$60.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $109.65 / $141.25	Professional		$83.18	$109.65	$141.25
Select Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $128.82 / $169.82	Professional		$97.72	$128.82	$169.82
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $128.82 / $204.17	Professional		$93.33	$128.82	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $95.50 / $141.25	Professional		$75.86	$95.50	$141.25