Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Facility		$34.67	$34.67	$34.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $66.07 / $645.65	Professional		$34.67	$66.07	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $74.13	Professional		$50.12	$50.12	$74.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $83.18 / $107.15	Professional		$51.29	$83.18	$107.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $97.72 / $169.82	Facility		$83.18	$97.72	$169.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $81.28 / $120.23	Professional		$63.10	$81.28	$120.23
Select Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $112.20 / $128.82	Professional		$102.33	$112.20	$128.82
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $114.82 / $154.88	Professional		$83.18	$114.82	$154.88
United Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $72.44 / $83.18	Facility		$45.71	$72.44	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $54.95 / $83.18	Professional		$42.66	$54.95	$83.18