Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $70.79 / $162.18	Professional		$56.23	$70.79	$162.18
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $56.23 / $112.20 / $245.47	Professional	25	$56.23	$112.20	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $91.20 / $169.82	Professional		$60.26	$91.20	$169.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $95.50 / $123.03	Professional		$69.18	$95.50	$123.03
Select Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $95.50 / $109.65	Professional		$74.13	$95.50	$109.65
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $100.00 / $138.04	Professional		$81.28	$100.00	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $83.18 / $141.25	Professional		$63.10	$83.18	$141.25