Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $229.09	Professional		$173.78	$173.78	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $234.42 / $251.19	Facility		$190.55	$234.42	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $177.83	Professional		$173.78	$173.78	$177.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $173.78 / $223.87	Professional		$120.23	$173.78	$223.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $263.03 / $562.34	Facility		$223.87	$263.03	$562.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $199.53 / $239.88	Professional		$190.55	$199.53	$239.88
Select Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $181.97 / $181.97	Professional		$123.03	$181.97	$181.97
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $173.78 / $208.93	Professional		$154.88	$173.78	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78