Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $214.40 / $749.80 / $1,465.05	Facility		$214.40	$749.80	$1,465.05
Qualchoice Facility/Professional Facility Modifier Low / Median / High Price $204.63 / $881.46 / $3,025.51	Facility		$204.63	$881.46	$3,025.51