Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $109.65	Facility		$48.98	$48.98	$109.65
Qualchoice Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $128.82	Facility		$46.77	$46.77	$128.82