Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $281.84 / $389.05	Facility		$177.83	$281.84	$389.05
Qualchoice Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $323.59 / $446.68	Facility		$204.17	$323.59	$446.68