Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Providence Facility/Professional Professional Modifier QX Low / Median / High Price $162.50 / $181.00 / $206.30	Professional	QX	$162.50	$181.00	$206.30
Providence Facility/Professional Professional Modifier QY Low / Median / High Price $162.50 / $181.00 / $206.30	Professional	QY	$162.50	$181.00	$206.30