Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Providence Facility/Professional Facility Modifier Low / Median / High Price $203.13 / $203.13 / $203.13	Facility		$203.13	$203.13	$203.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $195.00 / $195.00 / $284.38	Professional		$195.00	$195.00	$284.38
United Facility/Professional Professional Modifier Low / Median / High Price $199.56 / $199.56 / $199.56	Professional		$199.56	$199.56	$199.56