Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $954.99 / $1,202.26	Facility		$199.53	$954.99	$1,202.26
Qualchoice Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,071.52 / $1,380.38	Facility		$229.09	$1,071.52	$1,380.38