Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $204.17 / $724.44	Professional		$138.04	$204.17	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $208.93	Professional		$141.25	$141.25	$208.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $245.47 / $316.23	Professional		$60.26	$245.47	$316.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $295.12 / $512.86	Facility		$251.19	$295.12	$512.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $239.88 / $363.08	Professional		$186.21	$239.88	$363.08
Select Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $338.84 / $416.87	Professional		$302.00	$338.84	$416.87
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $346.74 / $512.86	Professional		$245.47	$346.74	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $154.88 / $181.97	Facility		$128.82	$154.88	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $154.88 / $223.87	Professional		$123.03	$154.88	$223.87