| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $82.48 | $82.48 | $82.48 |
Freestanding Clinic-Clinic Visit by Member to RHC/FQHC
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $82.48 | $82.48 | $82.48 |