Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $467.74 / $2,089.30	Facility		$354.81	$467.74	$2,089.30
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $436.52 / $1,778.28 / $2,290.87	Facility	25	$436.52	$1,778.28	$2,290.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $120.23 / $331.13	Professional		$87.10	$120.23	$331.13
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $95.50 / $194.98 / $446.68	Professional	25	$95.50	$194.98	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $165.96 / $331.13	Professional		$123.03	$165.96	$331.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $218.78	Professional		$32.36	$33.11	$218.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $234.42 / $338.84	Professional		$173.78	$234.42	$338.84
Select Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $245.47 / $346.74	Professional		$114.82	$245.47	$346.74
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $181.97 / $323.59	Professional		$131.83	$181.97	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $134.90 / $218.78	Professional		$102.33	$134.90	$218.78