| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $269.15 | $446.68 | $1,122.02 | |
Medical Mutual of Ohio
| Facility | $1,000.00 | $1,000.00 | $1,000.00 |
Level 5 Type B ED Visits
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $269.15 | $446.68 | $1,122.02 | |
Medical Mutual of Ohio
| Facility | $1,000.00 | $1,000.00 | $1,000.00 |