Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $3,019.95 / $5,754.40	Facility		$302.00	$3,019.95	$5,754.40
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,122.02 / $1,122.02 / $5,495.41	Facility	50	$1,122.02	$1,122.02	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $114.82 / $407.38	Professional		$57.54	$114.82	$407.38
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $89.13 / $144.54 / $489.78	Professional	50	$89.13	$144.54	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $100.00 / $169.82	Professional		$64.57	$100.00	$169.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $117.49	Professional		$32.36	$33.11	$117.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $162.18 / $257.04	Professional		$95.50	$162.18	$257.04
Select Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $109.65 / $204.17	Professional		$67.61	$109.65	$204.17
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $141.25 / $194.98	Professional		$83.18	$141.25	$194.98
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 $54.95 / $89.13 / $141.25	Professional		$54.95	$89.13	$141.25