Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $389.05 / $3,981.07	Facility		$218.78	$389.05	$3,981.07
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $323.59 / $323.59 / $323.59	Facility	50	$323.59	$323.59	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $190.55 / $512.86	Professional		$75.86	$190.55	$512.86
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $109.65 / $109.65 / $109.65	Professional	50	$109.65	$109.65	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $223.87 / $407.38	Professional		$93.33	$223.87	$407.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $389.05	Professional		$32.36	$33.11	$389.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $218.78 / $489.78	Facility		$186.21	$218.78	$489.78
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $281.84 / $331.13 / $741.31	Facility	50	$281.84	$331.13	$741.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $173.78 / $426.58	Professional		$112.20	$173.78	$426.58
Select Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $251.19 / $549.54	Professional		$83.18	$251.19	$549.54
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $302.00 / $467.74	Professional		$100.00	$302.00	$467.74
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 $77.62 / $165.96 / $380.19	Professional		$77.62	$165.96	$380.19