Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $275.42	Facility		$67.61	$67.61	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $323.59	Professional		$239.88	$239.88	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $331.13 / $354.81	Facility		$269.15	$331.13	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $245.47	Professional		$239.88	$239.88	$245.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $239.88 / $309.03	Professional		$165.96	$239.88	$309.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $436.52 / $831.76	Facility		$346.74	$436.52	$831.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $354.81	Professional		$263.03	$263.03	$354.81
Select Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $251.19 / $251.19	Professional		$208.93	$251.19	$251.19
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $234.42 / $288.40	Professional		$213.80	$234.42	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Professional		$239.88	$239.88	$239.88