Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Providence Facility/Professional Facility Modifier Low / Median / High Price $268.30 / $564.96 / $749.85	Facility		$268.30	$564.96	$749.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $223.88 / $445.57 / $445.57	Professional		$223.88	$445.57	$445.57