Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $2,136.10 / $2,136.10 / $2,136.10	Facility		$2,136.10	$2,136.10	$2,136.10
Qualchoice Facility/Professional Facility Modifier Low / Median / High Price $2,456.52 / $2,456.52 / $2,456.52	Facility		$2,456.52	$2,456.52	$2,456.52