Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $28.18 / $66.07	Professional	26	$28.18	$28.18	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $120.23 / $177.83	Professional		$95.50	$120.23	$177.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $25.70 / $46.77	Professional	26	$19.05	$25.70	$46.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $69.18 / $95.50 / $141.25	Professional	TC	$69.18	$95.50	$141.25
Well Sense Facility/Professional Facility Modifier 26 Low / Median / High Price $15.14 / $15.14 / $15.14	Facility	26	$15.14	$15.14	$15.14