| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $147.91 | $147.91 | $147.91 | |
Christus
| Facility | $25.70 | $30.20 | $39.81 |
Professional Fees (Extension of 096X and 097X)-Clinic
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $147.91 | $147.91 | $147.91 | |
Christus
| Facility | $25.70 | $30.20 | $39.81 |