Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Providence Facility/Professional Facility Modifier Low / Median / High Price $762.49 / $762.49 / $762.49	Facility		$762.49	$762.49	$762.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $573.49 / $573.49 / $573.49	Professional		$573.49	$573.49	$573.49