Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Providence Facility/Professional Facility Modifier Low / Median / High Price $108.21 / $143.13 / $189.97	Facility		$108.21	$143.13	$189.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $92.00 / $92.00 / $231.23	Professional		$92.00	$92.00	$231.23