Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,890.45 / $7,762.47	Facility		$3,235.94	$3,890.45	$7,762.47
Qualchoice Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $4,466.84 / $8,912.51	Facility		$3,715.35	$4,466.84	$8,912.51