Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $174.78 / $249.18 / $449.87	Facility		$174.78	$249.18	$449.87
Qualchoice Facility/Professional Facility Modifier Low / Median / High Price $205.05 / $311.94 / $578.70	Facility		$205.05	$311.94	$578.70