Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Providence Facility/Professional Facility Modifier Low / Median / High Price $704.03 / $704.03 / $704.03	Facility		$704.03	$704.03	$704.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $691.72 / $691.72 / $691.72	Professional		$691.72	$691.72	$691.72
United Facility/Professional Professional Modifier Low / Median / High Price $46.41 / $53.36 / $60.72	Professional		$46.41	$53.36	$60.72