Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $3,927.00 / $4,721.00 / $7,953.78	Facility		$3,927.00	$4,721.00	$7,953.78
Qualchoice Facility/Professional Facility Modifier Low / Median / High Price $4,516.05 / $5,386.98 / $10,061.50	Facility		$4,516.05	$5,386.98	$10,061.50