Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,819.70 / $5,248.07	Facility		$831.76	$1,819.70	$5,248.07
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $831.76 / $1,659.59 / $5,248.07	Facility	50	$831.76	$1,659.59	$5,248.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $263.03 / $933.25	Professional		$100.00	$263.03	$933.25
Aetna Facility/Professional Professional Modifier 22 Low / Median / High Price $141.25 / $141.25 / $190.55	Professional	22	$141.25	$141.25	$190.55
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $151.36 / $398.11 / $1,412.54	Professional	50	$151.36	$398.11	$1,412.54
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $51.29 / $51.29 / $97.72	Professional	53	$51.29	$51.29	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $223.87 / $416.87	Professional		$117.49	$223.87	$416.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $177.83	Professional		$32.36	$33.11	$177.83
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 $177.83 / $331.13 / $549.54	Professional		$177.83	$331.13	$549.54
Select Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $269.15 / $645.65	Professional		$125.89	$269.15	$645.65
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $354.81 / $478.63	Professional		$154.88	$354.81	$478.63
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 $100.00 / $194.98 / $346.74	Professional		$100.00	$194.98	$346.74