Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Providence Facility/Professional Facility Modifier Low / Median / High Price $188.25 / $216.16 / $244.15	Facility		$188.25	$216.16	$244.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.34 / $70.34 / $256.55	Professional		$70.34	$70.34	$256.55