Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $306.00 / $357.00 / $550.00	Professional	AA	$306.00	$357.00	$550.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $342.00 / $342.00 / $402.50	Professional	QZ	$342.00	$342.00	$402.50
Qualchoice Facility/Professional Professional Modifier AA Low / Median / High Price $351.90 / $410.55 / $632.50	Professional	AA	$351.90	$410.55	$632.50
Qualchoice Facility/Professional Professional Modifier QZ Low / Median / High Price $393.30 / $393.30 / $462.88	Professional	QZ	$393.30	$393.30	$462.88