Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Providence Facility/Professional Facility Modifier Low / Median / High Price $126.13 / $196.06 / $384.74	Facility		$126.13	$196.06	$384.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $96.43 / $200.05 / $200.05	Professional		$96.43	$200.05	$200.05