Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Facility		$72.44	$72.44	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $134.90 / $1,288.25	Professional		$72.44	$134.90	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $173.78	Professional		$123.03	$123.03	$173.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $162.18 / $213.80	Professional		$60.26	$162.18	$213.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $194.98 / $338.84	Facility		$165.96	$194.98	$338.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $158.49 / $257.04	Professional		$123.03	$158.49	$257.04
Select Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $223.87 / $302.00	Professional		$199.53	$223.87	$302.00
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $229.09 / $338.84	Professional		$162.18	$229.09	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $147.91 / $169.82	Facility		$93.33	$147.91	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $112.20 / $165.96	Professional		$87.10	$112.20	$165.96