Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Providence Facility/Professional Facility Modifier Low / Median / High Price $99.92 / $125.67 / $139.75	Facility		$99.92	$125.67	$139.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $62.36 / $189.67 / $189.67	Professional		$62.36	$189.67	$189.67