| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Health Alliance Plan
| Facility | $99.60 | $99.60 | $99.60 | |
Health Alliance Plan
| Professional | $99.60 | $99.60 | $132.37 |
Sbsq Observation Care/Day 35 Minutes
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Health Alliance Plan
| Facility | $99.60 | $99.60 | $99.60 | |
Health Alliance Plan
| Professional | $99.60 | $99.60 | $132.37 |