I have seen low profiles in cellular, gps, and pcs bands. I thought I had seen a low profile disc in the 500 mhz region, but I can't seem to find it. None of the ones I've seen were multiband or extremely wide bandwidth, but might do if you principly want to monitor an 800 mhz system. Cost wise they are a little more, but if you shop around it's not a lot more (and less than if you dont shop around for your garden variety 3db gain cellular band by maxrad, radialllarsen, etc.)
Like I said - I didnt' do it because it's relatively large in diameter, and would still be quite noticeable on a car roof, vs the roof of a truck or SUV.
The major antenna manufacturer's cellular antennas are mostly all available in an 800-860 tuning and an 825-900 tuning. This came up recently, and most people just run the cellular (the lower tuning) antennas and live with it. I chose an 825-900 because it was available, didn't cost any more, and it fit the two systems I was interested in better.
As to orientation/polarization - yes it should be vertical, however I think that's a styling decision. It makes the car look more aerodynamic you know.