Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Providence Facility/Professional Facility Modifier Low / Median / High Price $543.73 / $644.21 / $819.91	Facility		$543.73	$644.21	$819.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $256.07 / $256.07 / $406.60	Professional		$256.07	$256.07	$406.60