Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $204.00 / $255.00 / $255.00	Professional	QZ	$204.00	$255.00	$255.00
Qualchoice Facility/Professional Professional Modifier QZ Low / Median / High Price $234.60 / $293.25 / $379.50	Professional	QZ	$234.60	$293.25	$379.50