Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $135.88 / $169.38 / $215.88	Facility		$135.88	$169.38	$215.88
Qualchoice Facility/Professional Facility Modifier Low / Median / High Price $121.27 / $207.63 / $248.26	Facility		$121.27	$207.63	$248.26