| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2.10 | $2.10 | $2.10 | |
BCBS
| Professional | $13.12 | $13.12 | $13.12 | |
Molina
| Professional | $9.18 | $13.12 | $60.00 | |
Providence
| Facility | $2.10 | $2.10 | $2.10 |
Coordinated care fee, initial rate
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2.10 | $2.10 | $2.10 | |
BCBS
| Professional | $13.12 | $13.12 | $13.12 | |
Molina
| Professional | $9.18 | $13.12 | $60.00 | |
Providence
| Facility | $2.10 | $2.10 | $2.10 |