Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Providence Facility/Professional Facility Modifier Low / Median / High Price $111.91 / $115.99 / $145.96	Facility		$111.91	$115.99	$145.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.68 / $38.68 / $122.76	Professional		$38.68	$38.68	$122.76