| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medical Mutual of Ohio
| Professional | $1,000.00 | $1,000.00 | $1,096.48 |
Prolonged Extracorporeal Circulation Ea Addl Day
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medical Mutual of Ohio
| Professional | $1,000.00 | $1,000.00 | $1,096.48 |