Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $86.70 / $120.98 / $135.30	Facility		$86.70	$120.98	$135.30
Qualchoice Facility/Professional Facility Modifier Low / Median / High Price $101.27 / $136.37 / $295.26	Facility		$101.27	$136.37	$295.26