Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $118.63 / $260.48 / $598.84	Facility		$118.63	$260.48	$598.84
Qualchoice Facility/Professional Facility Modifier Low / Median / High Price $165.93 / $176.63 / $688.67	Facility		$165.93	$176.63	$688.67