Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $2,344.23 / $4,677.35	Facility		$676.08	$2,344.23	$4,677.35
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $83.18 / $1,258.93 / $1,258.93	Facility	53	$83.18	$1,258.93	$1,258.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $363.08 / $977.24	Professional		$177.83	$363.08	$977.24
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $79.43 / $151.36 / $354.81	Professional	53	$79.43	$151.36	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Facility		$1,445.44	$1,445.44	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $346.74 / $616.60	Professional		$213.80	$346.74	$616.60
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $67.61 / $144.54 / $218.78	Professional	53	$67.61	$144.54	$218.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $562.34	Professional		$32.36	$33.11	$562.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,548.82 / $3,548.13	Facility		$1,318.26	$1,548.82	$3,548.13
Regence BlueShield Facility/Professional Facility Modifier 53 Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Facility	53	$1,445.44	$1,445.44	$1,445.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $416.87 / $724.44	Professional		$245.47	$416.87	$724.44
Regence BlueShield Facility/Professional Professional Modifier 53 Low / Median / High Price $114.82 / $165.96 / $302.00	Professional	53	$114.82	$165.96	$302.00
Select Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $436.52 / $812.83	Professional		$251.19	$436.52	$812.83
Select Health Facility/Professional Professional Modifier 53 Low / Median / High Price $169.82 / $295.12 / $537.03	Professional	53	$169.82	$295.12	$537.03
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $269.15 / $562.34	Professional		$131.83	$269.15	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $4,466.84 / $5,128.61	Facility		$1,698.24	$4,466.84	$5,128.61
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $316.23 / $549.54	Professional		$181.97	$316.23	$549.54
United Facility/Professional Professional Modifier 53 Low / Median / High Price $100.00 / $218.78 / $218.78	Professional	53	$100.00	$218.78	$218.78