Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $138.66 / $138.66 / $138.66	Professional	QZ	$138.66	$138.66	$138.66
Providence Facility/Professional Professional Modifier QX Low / Median / High Price $172.50 / $194.25 / $202.50	Professional	QX	$172.50	$194.25	$202.50
Providence Facility/Professional Professional Modifier QY Low / Median / High Price $172.50 / $194.25 / $202.50	Professional	QY	$172.50	$194.25	$202.50