Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $669.73 / $1,014.76 / $2,626.00	Facility		$669.73	$1,014.76	$2,626.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,130.00 / $3,342.00 / $4,215.00	Facility		$1,130.00	$3,342.00	$4,215.00
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $12,685.05 / $12,685.05 / $12,685.05	Facility		$12,685.05	$12,685.05	$12,685.05