Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $4,570.88 / $10,232.93	Facility		$645.65	$4,570.88	$10,232.93
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,041.74 / $3,311.31 / $5,754.40	Facility	50	$2,041.74	$3,311.31	$5,754.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $676.08 / $1,288.25	Professional		$501.19	$676.08	$1,288.25
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $630.96 / $724.44 / $1,380.38	Professional	50	$630.96	$724.44	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $776.25 / $1,096.48	Professional		$426.58	$776.25	$1,096.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,479.11	Professional		$32.36	$33.11	$1,479.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,890.45 / $8,912.51	Facility		$3,311.31	$3,890.45	$8,912.51
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $5,011.87 / $5,888.44 / $13,489.63	Facility	50	$5,011.87	$5,888.44	$13,489.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,000.00 / $1,380.38	Professional		$707.95	$1,000.00	$1,380.38
Select Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,000.00 / $1,621.81	Professional		$562.34	$1,000.00	$1,621.81
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $831.76 / $1,348.96	Professional		$616.60	$831.76	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $5,128.61 / $7,079.46	Facility		$1,995.26	$5,128.61	$7,079.46
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $602.56 / $933.25	Professional		$457.09	$602.56	$933.25