Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $172.86 / $172.86 / $172.86	Facility		$172.86	$172.86	$172.86
Qualchoice Facility/Professional Facility Modifier Low / Median / High Price $165.19 / $165.19 / $165.19	Facility		$165.19	$165.19	$165.19