Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $3,019.95 / $4,570.88	Facility		$389.05	$3,019.95	$4,570.88
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $812.83 / $812.83 / $812.83	Facility	54	$812.83	$812.83	$812.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $457.09 / $1,258.93	Professional		$269.15	$457.09	$1,258.93
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $691.83 / $954.99 / $1,380.38	Professional	50	$691.83	$954.99	$1,380.38
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $288.40 / $398.11 / $478.63	Professional	54	$288.40	$398.11	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $407.38 / $741.31	Professional		$269.15	$407.38	$741.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $588.84	Professional		$32.36	$33.11	$588.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $398.11 / $870.96	Facility		$338.84	$398.11	$870.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $588.84 / $758.58	Professional		$436.52	$588.84	$758.58
Select Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $575.44 / $741.31	Professional		$354.81	$575.44	$741.31
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $512.86 / $707.95	Professional		$436.52	$512.86	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $4,466.84 / $5,128.61	Facility		$1,071.52	$4,466.84	$5,128.61
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $338.84 / $524.81	Professional		$251.19	$338.84	$524.81