Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $489.78	Facility		$109.65	$109.65	$489.78
Qualchoice Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $575.44	Facility		$125.89	$125.89	$575.44