Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $2,951.21 / $5,495.41	Facility		$933.25	$2,951.21	$5,495.41
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $794.33 / $2,630.27 / $6,606.93	Facility	50	$794.33	$2,630.27	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $208.93 / $602.56	Professional		$102.33	$208.93	$602.56
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $162.18 / $281.84 / $933.25	Professional	50	$162.18	$281.84	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $190.55 / $323.59	Professional		$114.82	$190.55	$323.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $223.87	Professional		$32.36	$33.11	$223.87
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 $169.82 / $302.00 / $512.86	Professional		$169.82	$302.00	$512.86
Select Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $213.80 / $416.87	Professional		$120.23	$213.80	$416.87
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $281.84 / $416.87	Professional		$147.91	$281.84	$416.87
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 $93.33 / $169.82 / $295.12	Professional		$93.33	$169.82	$295.12