Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $147.91 / $194.98 / $512.86	Professional	QZ	$147.91	$194.98	$512.86
Qualchoice Facility/Professional Professional Modifier QZ Low / Median / High Price $588.84 / $588.84 / $588.84	Professional	QZ	$588.84	$588.84	$588.84