| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $304.13 | $304.13 | $304.13 | |
Medica
| Facility | $100.00 | $100.00 | $100.00 |
Professional Fees (Extension Of 096X And 097X) - Emergency Room Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $304.13 | $304.13 | $304.13 | |
Medica
| Facility | $100.00 | $100.00 | $100.00 |