Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $42.69 / $123.50 / $215.49	Facility		$42.69	$123.50	$215.49
Qualchoice Facility/Professional Facility Modifier Low / Median / High Price $63.89 / $147.22 / $240.63	Facility		$63.89	$147.22	$240.63
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $625.00 / $625.00	Facility		$625.00	$625.00	$625.00