Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $12.74 / $127.96 / $347.51	Facility		$12.74	$127.96	$347.51
Qualchoice Facility/Professional Facility Modifier Low / Median / High Price $80.73 / $147.15 / $426.28	Facility		$80.73	$147.15	$426.28