Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $2,951.21 / $4,570.88	Facility		$562.34	$2,951.21	$4,570.88
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility	54	$1,819.70	$1,819.70	$1,819.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $660.69 / $2,398.83	Professional		$416.87	$660.69	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $602.56 / $1,071.52	Professional		$426.58	$602.56	$1,071.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,000.00	Professional		$32.36	$33.11	$1,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,691.53 / $6,025.60	Facility		$2,290.87	$2,691.53	$6,025.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $831.76 / $1,148.15	Professional		$602.56	$831.76	$1,148.15
Select Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $831.76 / $1,047.13	Professional		$489.78	$831.76	$1,047.13
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $758.58 / $1,122.02	Professional		$588.84	$758.58	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,818.38 / $5,128.61	Facility		$1,096.48	$2,818.38	$5,128.61
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $489.78 / $758.58	Professional		$389.05	$489.78	$758.58