Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Facility		$870.96	$870.96	$870.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,584.89 / $12,882.50	Professional		$870.96	$1,584.89	$12,882.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Facility		$1,949.84	$1,949.84	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $2,089.30	Professional		$1,412.54	$1,412.54	$2,089.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $2,238.72 / $2,884.03	Professional		$60.26	$2,238.72	$2,884.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,691.53 / $4,677.35	Facility		$2,290.87	$2,691.53	$4,677.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,187.76 / $3,162.28	Professional		$1,698.24	$2,187.76	$3,162.28
Select Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,019.95 / $3,090.30	Professional		$2,754.23	$3,019.95	$3,090.30
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,090.30 / $3,630.78	Professional		$2,238.72	$3,090.30	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,778.28 / $2,041.74	Facility		$1,122.02	$1,778.28	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,348.96 / $1,995.26	Professional		$1,047.13	$1,348.96	$1,995.26