Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Providence Facility/Professional Facility Modifier Low / Median / High Price $129.19 / $161.50 / $2,671.71	Facility		$129.19	$161.50	$2,671.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $147.51 / $193.80 / $3,206.05	Professional		$147.51	$193.80	$3,206.05
United Facility/Professional Professional Modifier Low / Median / High Price $1,442.07 / $1,868.75 / $2,255.41	Professional		$1,442.07	$1,868.75	$2,255.41