Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.29 / $179.45 / $253.78	Facility		$91.29	$179.45	$253.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $227.04 / $227.04 / $427.39	Professional		$227.04	$227.04	$427.39