Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $245.38 / $526.41 / $677.47	Facility		$245.38	$526.41	$677.47
Qualchoice Facility/Professional Facility Modifier Low / Median / High Price $282.19 / $605.37 / $779.09	Facility		$282.19	$605.37	$779.09