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 / $102.33 / $812.83	Professional		$54.95	$102.33	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $114.82	Professional		$79.43	$79.43	$114.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $141.25 / $181.97	Professional		$60.26	$141.25	$181.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $169.82 / $295.12	Facility		$144.54	$169.82	$295.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $138.04 / $199.53	Professional		$109.65	$138.04	$199.53
Select Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $194.98 / $199.53	Professional		$173.78	$194.98	$199.53
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $199.53 / $229.09	Professional		$141.25	$199.53	$229.09
United Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $85.11 / $100.00	Facility		$72.44	$85.11	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $85.11 / $123.03	Professional		$67.61	$85.11	$123.03