Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Providence Facility/Professional Facility Modifier Low / Median / High Price $303.20 / $402.38 / $459.36	Facility		$303.20	$402.38	$459.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $245.00 / $245.00 / $584.57	Professional		$245.00	$245.00	$584.57