Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $354.81 / $562.34	Facility		$147.91	$354.81	$562.34
Qualchoice Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $407.38 / $645.65	Facility		$169.82	$407.38	$645.65