Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Professional	QZ	$1,513.56	$1,513.56	$1,513.56
Aultcare Facility/Professional Professional Modifier QZ Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Professional	QZ	$1,096.48	$1,096.48	$1,096.48