| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Health Alliance Plan
| Facility | $69.41 | $69.41 | $69.41 | |
Health Alliance Plan
| Professional | $69.41 | $69.41 | $91.86 |
Observation Care Discharge Management
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Health Alliance Plan
| Facility | $69.41 | $69.41 | $69.41 | |
Health Alliance Plan
| Professional | $69.41 | $69.41 | $91.86 |