Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $245.47 / $302.00	Professional		$158.49	$245.47	$302.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $44.67 / $288.40	Professional		$30.20	$44.67	$288.40
Select Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $257.04 / $257.04	Professional		$251.19	$257.04	$257.04
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $407.38 / $457.09	Professional		$371.54	$407.38	$457.09