Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $102.33	Professional		$67.61	$67.61	$102.33
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $19.05 / $28.84	Professional	26	$19.05	$19.05	$28.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $58.88 / $87.10	Professional		$20.89	$58.88	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $104.71 / $190.55	Professional		$69.18	$104.71	$190.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $22.39 / $38.02	Professional	26	$18.20	$22.39	$38.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $77.62 / $162.18	Professional	TC	$50.12	$77.62	$162.18