Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Providence Facility/Professional Facility Modifier Low / Median / High Price $115.84 / $170.77 / $221.14	Facility		$115.84	$170.77	$221.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $86.13 / $189.02 / $189.02	Professional		$86.13	$189.02	$189.02