Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $510.00 / $510.00 / $510.00	Professional	QZ	$510.00	$510.00	$510.00
Qualchoice Facility/Professional Professional Modifier QZ Low / Median / High Price $586.50 / $586.50 / $586.50	Professional	QZ	$586.50	$586.50	$586.50