Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $151.36 / $1,258.93	Professional		$87.10	$151.36	$1,258.93
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 $125.89 / $125.89 / $173.78	Professional		$125.89	$125.89	$173.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $199.53 / $257.04	Professional		$60.26	$199.53	$257.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $239.88 / $416.87	Facility		$204.17	$239.88	$416.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $194.98 / $295.12	Professional		$151.36	$194.98	$295.12
Select Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $275.42 / $316.23	Professional		$245.47	$275.42	$316.23
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $275.42 / $389.05	Professional		$199.53	$275.42	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $181.97 / $204.17	Facility		$112.20	$181.97	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $134.90 / $204.17	Professional		$107.15	$134.90	$204.17