Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $912.01 / $912.01 / $912.01	Professional	QZ	$912.01	$912.01	$912.01
Kaiser Permanente Facility/Professional Professional Modifier QK Low / Median / High Price $173.78 / $173.78 / $229.09	Professional	QK	$173.78	$173.78	$229.09
Kaiser Permanente Facility/Professional Professional Modifier QX Low / Median / High Price $173.78 / $173.78 / $229.09	Professional	QX	$173.78	$173.78	$229.09
Kaiser Permanente Facility/Professional Professional Modifier QY Low / Median / High Price $173.78 / $173.78 / $229.09	Professional	QY	$173.78	$173.78	$229.09