Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $3,162.28 / $5,495.41	Facility		$199.53	$3,162.28	$5,495.41
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,495.41 / $5,495.41 / $5,495.41	Facility	50	$5,495.41	$5,495.41	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $131.83 / $316.23	Professional		$56.23	$131.83	$316.23
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $288.40 / $302.00 / $457.09	Professional	50	$288.40	$302.00	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $125.89 / $208.93	Professional		$69.18	$125.89	$208.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $72.44	Professional		$32.36	$33.11	$72.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,584.89 / $3,630.78	Facility		$1,348.96	$1,584.89	$3,630.78
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $2,041.74 / $2,398.83 / $5,370.32	Facility	50	$2,041.74	$2,398.83	$5,370.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $177.83 / $363.08	Professional		$87.10	$177.83	$363.08
Select Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $109.65 / $213.80	Professional		$63.10	$109.65	$213.80
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $134.90 / $190.55	Professional		$77.62	$134.90	$190.55
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 $56.23 / $95.50 / $169.82	Professional		$56.23	$95.50	$169.82