| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $194.41 | $330.53 | $406.26 | |
Hally Health
| Facility | $100.00 | $120.00 | $345.40 |
Professional Fees (Extension of 096X and 097X)-Emergency Room
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $194.41 | $330.53 | $406.26 | |
Hally Health
| Facility | $100.00 | $120.00 | $345.40 |