Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Professional		$67.61	$67.61	$67.61
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $23.44 / $35.48	Professional	26	$19.05	$23.44	$35.48
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $74.13 / $123.03	Professional		$48.98	$74.13	$123.03
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $19.50 / $30.90	Professional	26	$16.98	$19.50	$30.90
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $56.23 / $107.15	Professional	TC	$46.77	$56.23	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $97.72 / $173.78	Professional		$58.88	$97.72	$173.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $22.91 / $39.81	Professional	26	$14.79	$22.91	$39.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $74.13 / $131.83	Professional	TC	$43.65	$74.13	$131.83