| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Wellpoint
| Professional | $1.26 | $1.26 | $1.26 |
Mccd, Risk Adj, Level 3
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Wellpoint
| Professional | $1.26 | $1.26 | $1.26 |