Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $663.00 / $969.00 / $969.00	Professional	QZ	$663.00	$969.00	$969.00
Qualchoice Facility/Professional Professional Modifier QZ Low / Median / High Price $1,114.34 / $1,114.34 / $1,114.34	Professional	QZ	$1,114.34	$1,114.34	$1,114.34