Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $112.20 / $199.53	Facility		$81.28	$112.20	$199.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $323.59	Professional		$173.78	$173.78	$323.59