Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $97.72 / $97.72	Facility		$85.11	$97.72	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $95.50 / $331.13	Professional		$57.54	$95.50	$331.13
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $120.23 / $120.23 / $120.23	Professional	25	$120.23	$120.23	$120.23
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $57.54 / $57.54 / $144.54	Professional	CQ	$57.54	$57.54	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $75.86	Facility		$72.44	$72.44	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $87.10 / $186.21	Professional		$54.95	$87.10	$186.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $181.97	Professional		$32.36	$33.11	$181.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $128.82 / $186.21	Facility		$109.65	$128.82	$186.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $114.82 / $123.03	Professional		$91.20	$114.82	$123.03
Select Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $102.33 / $114.82	Professional		$93.33	$102.33	$114.82
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $134.90 / $218.78	Professional		$100.00	$134.90	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $87.10 / $91.20	Professional		$74.13	$87.10	$91.20