Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $562.34 / $1,000.00	Professional		$549.54	$562.34	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $3,235.94 / $6,606.93	Facility		$549.54	$3,235.94	$6,606.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
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 / $125.89	Professional		$120.23	$120.23	$125.89
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $549.54 / $660.69	Professional		$144.54	$549.54	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $134.90 / $2,691.53	Professional		$125.89	$134.90	$2,691.53