Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $295.12	Facility		$123.03	$123.03	$295.12
Qualchoice Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $338.84	Facility		$141.25	$141.25	$338.84