Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $1,977.00 / $2,752.50 / $5,219.04	Facility		$1,977.00	$2,752.50	$5,219.04
Qualchoice Facility/Professional Facility Modifier Low / Median / High Price $2,273.55 / $3,068.58 / $6,001.90	Facility		$2,273.55	$3,068.58	$6,001.90