Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $3,162.28 / $4,570.88	Facility		$123.03	$3,162.28	$4,570.88
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $645.65 / $645.65 / $645.65	Facility	50	$645.65	$645.65	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $144.54 / $288.40	Professional		$120.23	$144.54	$288.40
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $190.55 / $194.98 / $436.52	Professional	50	$190.55	$194.98	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $181.97 / $234.42	Professional		$100.00	$181.97	$234.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $295.12	Professional		$32.36	$33.11	$295.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $512.86 / $1,122.02	Facility		$436.52	$512.86	$1,122.02
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $645.65 / $758.58 / $1,698.24	Facility	50	$645.65	$758.58	$1,698.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $229.09 / $269.15	Professional		$169.82	$229.09	$269.15
Select Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $229.09 / $331.13	Professional		$128.82	$229.09	$331.13
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $165.96 / $239.88	Professional		$91.20	$165.96	$239.88
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 $102.33 / $128.82 / $204.17	Professional		$102.33	$128.82	$204.17