Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $15.99 / $139.62 / $439.75	Facility		$15.99	$139.62	$439.75
Qualchoice Facility/Professional Facility Modifier Low / Median / High Price $18.39 / $196.44 / $789.91	Facility		$18.39	$196.44	$789.91