Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $190.55 / $1,047.13	Professional		$109.65	$190.55	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $162.18 / $275.42	Professional		$138.04	$162.18	$275.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $181.97 / $239.88	Professional		$60.26	$181.97	$239.88
Select Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $257.04 / $316.23	Professional		$251.19	$257.04	$316.23
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $30.90 / $257.04	Professional		$21.88	$30.90	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $100.00 / $169.82	Facility		$13.49	$100.00	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $134.90 / $245.47	Professional		$19.50	$134.90	$245.47