Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.29 / $169.08 / $232.69	Facility		$91.29	$169.08	$232.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $203.74 / $203.74 / $381.28	Professional		$203.74	$203.74	$381.28