Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $58.49 / $84.67 / $130.50	Facility		$58.49	$84.67	$130.50
Qualchoice Facility/Professional Facility Modifier Low / Median / High Price $71.47 / $97.78 / $166.08	Facility		$71.47	$97.78	$166.08