Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $55.10 / $55.10 / $197.50	Facility		$55.10	$55.10	$197.50
Qualchoice Facility/Professional Facility Modifier Low / Median / High Price $63.37 / $63.37 / $227.13	Facility		$63.37	$63.37	$227.13
United Facility/Professional Facility Modifier Low / Median / High Price $312.00 / $312.00 / $312.00	Facility		$312.00	$312.00	$312.00