Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $5,495.41 / $9,120.11	Facility		$741.31	$5,495.41	$9,120.11
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,187.76 / $3,548.13 / $7,079.46	Facility	50	$2,187.76	$3,548.13	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $794.33 / $1,584.89	Professional		$588.84	$794.33	$1,584.89
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $831.76 / $2,041.74 / $2,454.71	Professional	50	$831.76	$2,041.74	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $912.01 / $1,230.27	Professional		$501.19	$912.01	$1,230.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,698.24	Professional		$32.36	$33.11	$1,698.24
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 $831.76 / $1,174.90 / $1,548.82	Professional		$831.76	$1,174.90	$1,548.82
Select Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,174.90 / $1,862.09	Professional		$660.69	$1,174.90	$1,862.09
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $954.99 / $1,348.96	Professional		$660.69	$954.99	$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 $524.81 / $691.83 / $1,071.52	Professional		$524.81	$691.83	$1,071.52