Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $182.34 / $182.34 / $182.34	Facility		$182.34	$182.34	$182.34
Qualchoice Facility/Professional Facility Modifier Low / Median / High Price $209.69 / $209.69 / $752.73	Facility		$209.69	$209.69	$752.73