Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Facility		$54.95	$54.95	$54.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $104.71 / $1,000.00	Professional		$54.95	$104.71	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Facility		$144.54	$144.54	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $147.91	Professional		$104.71	$104.71	$147.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $125.89 / $165.96	Professional		$60.26	$125.89	$165.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $151.36 / $263.03	Facility		$128.82	$151.36	$263.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $123.03 / $186.21	Professional		$95.50	$123.03	$186.21
Select Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $173.78 / $190.55	Professional		$154.88	$173.78	$190.55
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $177.83 / $229.09	Professional		$125.89	$177.83	$229.09
United Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $87.10 / $114.82	Facility		$72.44	$87.10	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $87.10 / $123.03	Professional		$67.61	$87.10	$123.03