Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $2,210.76 / $2,210.76 / $2,210.76	Facility		$2,210.76	$2,210.76	$2,210.76
Qualchoice Facility/Professional Facility Modifier Low / Median / High Price $1,596.51 / $2,242.48 / $2,242.48	Facility		$1,596.51	$2,242.48	$2,242.48