Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Providence Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $645.65 / $812.83	Facility		$257.04	$645.65	$812.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $407.38	Professional		$257.04	$257.04	$407.38