Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $122.88 / $591.60 / $612.00	Professional	QZ	$122.88	$591.60	$612.00
Qualchoice Facility/Professional Professional Modifier QZ Low / Median / High Price $586.50 / $586.50 / $703.80	Professional	QZ	$586.50	$586.50	$703.80