Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Providence Facility/Professional Facility Modifier Low / Median / High Price $611.85 / $688.03 / $875.67	Facility		$611.85	$688.03	$875.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $266.66 / $266.66 / $492.34	Professional		$266.66	$266.66	$492.34