Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $81.00 / $213.01 / $1,322.10	Facility		$81.00	$213.01	$1,322.10
Qualchoice Facility/Professional Facility Modifier Low / Median / High Price $85.01 / $229.37 / $1,378.03	Facility		$85.01	$229.37	$1,378.03