Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $4,570.88 / $8,709.64	Facility		$602.56	$4,570.88	$8,709.64
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,513.56 / $3,890.45 / $3,890.45	Facility	50	$1,513.56	$3,890.45	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $645.65 / $1,000.00	Professional		$457.09	$645.65	$1,000.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Professional	50	$1,949.84	$1,949.84	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $707.95 / $1,047.13	Professional		$380.19	$707.95	$1,047.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,380.38	Professional		$32.36	$33.11	$1,380.38
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 $630.96 / $912.01 / $1,288.25	Professional		$630.96	$912.01	$1,288.25
Select Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $933.25 / $1,548.82	Professional		$512.86	$933.25	$1,548.82
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $794.33 / $1,348.96	Professional		$562.34	$794.33	$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 $416.87 / $562.34 / $891.25	Professional		$416.87	$562.34	$891.25