Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $3,630.78 / $4,897.79	Facility		$1,778.28	$3,630.78	$4,897.79
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $77.62 / $77.62 / $165.96	Facility	53	$77.62	$77.62	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $302.00 / $660.69	Professional		$169.82	$302.00	$660.69
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $60.26 / $117.49 / $204.17	Professional	53	$60.26	$117.49	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $41.69 / $41.69 / $89.13	Professional	53	$41.69	$41.69	$89.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $281.84	Professional		$32.36	$33.11	$281.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,548.82 / $3,548.13	Facility		$1,318.26	$1,548.82	$3,548.13
Regence BlueShield Facility/Professional Facility Modifier 53 Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Facility	53	$1,445.44	$1,445.44	$1,445.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $338.84 / $562.34	Professional		$208.93	$338.84	$562.34
Regence BlueShield Facility/Professional Professional Modifier 53 Low / Median / High Price $91.20 / $128.82 / $234.42	Professional	53	$91.20	$128.82	$234.42
Select Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $363.08 / $630.96	Professional		$208.93	$363.08	$630.96
Select Health Facility/Professional Professional Modifier 53 Low / Median / High Price $138.04 / $239.88 / $416.87	Professional	53	$138.04	$239.88	$416.87
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $257.04 / $537.03	Professional		$128.82	$257.04	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,818.38 / $5,128.61	Facility		$1,096.48	$2,818.38	$5,128.61
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $316.23 / $549.54	Professional		$181.97	$316.23	$549.54
United Facility/Professional Professional Modifier 53 Low / Median / High Price $173.78 / $204.17 / $204.17	Professional	53	$173.78	$204.17	$204.17