Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Facility		$186.21	$186.21	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $302.00	Professional		$162.18	$162.18	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $239.88 / $263.03	Facility		$162.18	$239.88	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $44.67 / $199.53	Professional		$30.20	$44.67	$199.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $144.54 / $162.18	Professional		$123.03	$144.54	$162.18
Select Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $194.98	Professional		$120.23	$120.23	$194.98
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $162.18 / $194.98	Professional		$144.54	$162.18	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $134.90 / $371.54	Professional		$125.89	$134.90	$371.54