Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $134.13 / $195.10 / $416.00	Professional	QX	$134.13	$195.10	$416.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $174.24 / $174.24 / $174.24	Professional	QZ	$174.24	$174.24	$174.24