Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $121.08 / $121.08 / $295.49	Facility		$121.08	$121.08	$295.49
Qualchoice Facility/Professional Facility Modifier Low / Median / High Price $139.24 / $339.81 / $339.81	Facility		$139.24	$339.81	$339.81