Aetna "Select Provider" Listing - Radiology Tampa - January, 2012 CITRUS COUNTY

FLORIDA CHARLOTTE COUNTY Port Charlotte Advanced Imaging of Port Charlotte, 7939681, 5122203 2625 Tamiami Trail, Unit 1 Port Charlotte, FL 33952 Phone: 941-235-4646 / Fax: 941-235-4655 Svcs: MR, OMR, CNM, CT, PET, X, US, BD, M Imaging for Life* 7057563, 1390849 4130 Tamiami Trail, Suite 101 Port Charlotte, FL 33952 Phone: 941-921-0383 / Fax: 941-921-0394 Hours: M-F 8:00 am - 5:00 pn Svcs: CT, PET Partner's Imaging of Charlotte* 5680237, 7922897 4161 Tamiami Trail, Suite 204 Port Charlotte, FL 33952 Phone: 941-255-5151 / Fax: 941-255-5152 Hours: M-F 7:00 am - 6:00 pm Svcs: MR S.W. Florida Regional Imaging 5201293, 8980392 2852 Tamiami Trail Port Charlotte, FL 33952 Phone: 941-637-9729 / Fax: 941-629-3752 Svcs: MR, OMR, CT, X, US, M 5201293, 5360560 4130 Tamiami Trail Port Charlotte, FL 33952 Phone: 941-637-9729 / Fax: 941-627-6768 Svcs: MR, OMR, CT, X, US, M S.W. Florida Regional Imaging II, 9458548, 6383520 19621 Cochran Blvd., Suite 3 Port Charlotte, FL 33948 Phone: 941-629-9729 / Fax: 941-235-5200 Svcs: MR, OMR, CNM, CT, PET, X, FL, US, S, BD, M Punta Gorda S.W. Florida Regional Imaging II, 9458548, 527115 329 East Olympia Avenue Punta Gorda, FL 33950 Phone: 941-637-9729 / Fax: 941-637-3873 Svcs: MR, OMR, CNM, CT, PET, X, FL, US, S, BD, M CITRUS COUNTY Beverly Hills PET Services of Florida, L.L.C. 7297596, 8982622 3404 North Lecanto Hwy., Suite A Beverly Hills, FL 34465 Phone: 354-746-6888 Svcs: CT, PET Crystal River Citrus Diagnostic Center* 4593754, 508481 922 North Citrus Avenue Crystal River, FL 34428 Phone: 352-795-9200 / Fax: 352-795-6460 Svcs: MR, OMR, CNM, CT, PET, X, FL, US, BD, M Homosassa Homosassa Open MRI, Inc.* 7404464, 6441770 8464 West Aquaduct Street Homosassa, FL 34448 Phone: 352-628-4800 / Fax: 352-628-4801 Svcs: OMR, X Sugar Mill Diagnostic Imaging, LLC 9292149, 953233 8303 South Suncoast Blvd. Homosassa, FL 34446 Phone: 877-800-2450 / Fax: 352-628-9700 Svcs: CT, X, US, BD, M Inverness Citrus Open MRI Center* 7335496, 4273528 2687 East Golf To Lake Hwy. Inverness, FL 34453 Phone: 352-637-4466 / Fax: 352-637-4482 Svcs: OMR, CNM, CT, PET, X, FL, US, S, BD, M Inverness Medical Imaging, 7806857, 5991590 2105 Hwy. 44 West Inverness, FL 34453 Phone: 352-637-6100 / Fax: 352-637-6900 Svcs: MR, CT, X, FL, US, BD, M COLLIER COUNTY Naples American Radiology Services Banyan Center, 7967875, 613222 1350 Tamiami Trail North, Suite 101 Phone: 239-430-4674 Hours: M-F 8:00 a.m. - 5:00 p.m. Svcs: MR, CNM, CT, X, US Partner's Imaging of Naples* 4565090, 1571454 730 Goodlette Road, Suite 101 Phone: 239-262-5151 / Fax: 239-262-4216 Hours: M-F 7:00 am - 11:00 pm Svcs: MR, CT ProScan Imaging Naples, 7230639, 3301750 260 Tamiami Trail North Phone: 239-598-0035 / Fax: 239-598-0038 Hours: M-F 7:00 am - 11:00 pm Svcs: MR, CT 7230639, 9892076 7947 Airport Pulling Road Naples, FL 34109 Phone: 877-800-2450 / Fax: 239-598-0038 Hours: M-F 7:00 am - 11:00 pm, Sat 8:00 am - 4:00 pm Svcs: MR, X, BD, M Radiology Regional Center* 8202375, 850940 700 Goodlette Road Phone: 239-430-1400 / Fax: 239-430-1401 Svcs: MR, OMR, CNM, CT, PET, X, FL, US, BD, M Stand-Up MRI of South West Florida* 9370576, 8143744 4521 Executive Drive Naples, FL 34119 Phone: 239-514-2600 / Fax: 239-514-0019 Svcs: OMR HERNANDO COUNTY Brooksville Advanced Imaging Concepts, P.L.* 7237707, 6242369 13063 Cortez Blvd. Brooksville, FL 34613 Phone: 352-597-0016 / Fax: 352-597-0089 Hours: M-F 7:30 a.m. - 5:30 p.m. Svcs: MR, OMR, CNM, CT, PET, X, US, M Summit Imaging-HCA Affiliate* 5879549, 3660670 12037 Cortez Blvd. Brooksville, FL 34613 Phone: 352-597-9008 / Fax: 352-597-1008 Hours: Mon 8:00 am - 8:00 pm T-F 8:00 am - 5:00 pm, Sat 8:00 am - 1:00 pm Svcs: MR, CNM, CT, PET, X, FL, US, BD, M West Hernando Diagnostic and MRI Center* 8205840, 7252295 15427 Cortez Blvd. Brooksville, FL 34613 Phone: 352-754-0600 / Fax: 352-754-0680 Hours: M-F 8:00 am - 5:00 extended hrs upon request Svcs: MR, OMR, CT, X, US, BD, M 1 of 7

Spring Hill 7385314, 3472031 8462 Northcliffe Blvd. Spring Hill, FL 34606 Phone: 352-688-7377 / Fax: 352-688-2644 Sat by Appt Svcs: OMR, CT, X, US, M Spring Hill MRI* 7774389, 5141718 6451 Toucan Trail Spring Hill, FL 34607 Phone: 352-684-2811 / Fax: 352-684-0212 Hours: M-F 8:00 am - 7:00 pm Svcs: MR, CT, X, US, M Sugar Mill Diagnostic Imaging, LLC 9292149, 5770821 1226 Mariner Blvd. Spring Hill, FL 34609 Phone: 352-597-7433 / Fax: 866-333-9909 Svcs: CT, X, US, BD, M West Hernando Diagnostic and MRI Center* 8205840, 2310852 3315 Commercial Way, Suite A Spring Hill, FL 34606 Phone: 352-688-5860 / Fax: 352-688-1892 Hours: M-F 8:00 am - 5:00 extended hrs upon request Svcs: MR, OMR, CT, X, FL, US, BD, M 8205840, 2172845 491 Mariner Blvd. Spring Hill, FL 34609 Phone: 352-688-4111 / Fax: 352-688-7222 Hours: M-S 8:00 am - 5:00 pm Svcs: MR, CT, X, US, M HIGHLANDS COUNTY Sebring Highlands Breast & Imaging Center, L.L.C. 7401142, 3330963 115 Medical Center Sebring, FL 33870 Phone: 863-385-6655 Svcs: X, US, M HILLSBOROUGH COUNTY Brandon Bloomingdale Radiology Center* 7478441, 1331851 3350 Bell Shoals Road Phone: 813-654-4883 / Fax: 813-676-0339 Hours: M-F 7:00-5:30 Sat:7:30-2:00 Svcs: MR, CT, PET, X, US, BD, M Brandon Open MRI* 7509848, 8230652 615 Vonderberg Drive Phone: 813-657-5579 / Fax: 813-657-6130 Hours: M-F 8:00 am - 8:00 pm Svcs: OMR Community Diagnostic of Brandon* 9061078, 7953101 500 Vonderburg Road, Suite 111 Phone: 813-654-5400 / Fax: 813-436-2882 Hours: M-Th 7:00 am - 7:00 pm, F 7:00 am - 5:30 pm Svcs: MR, CT, X 7385314, 9521826 1220 Oakfield Drive Phone: 813-655-1144 Sat by Appt Svcs: OMR, X Signet Diagnostic Imaging Services, L.L.C.* 7390663, 454400 414 West Robertson Street Phone: 813-657-6767 Hours: M-F 7:00 am - 10:00 Sat 8:00 am - 1:00 pm Svcs: MR, CNM, CT, PET, X, US, BD, M Total Imaging - Parsons, 9185105, 4431084 427 South Parsons Avenue, Suite 100 Phone: 813-315-2080 / Fax: 813-315-2090 Hours: M-F 8:00 a.m. - 5:00 p.m. Svcs: MR, CNM, CT, X, US, M Tower Diagnostic of Brandon-HCA Affiliate* 5579420, 2730567 613 Oakfield Drive Phone: 813-661-2222 / Fax: 813-681-8494 SS by appt Svcs: MR, OMR, CNM, CT, X, FL, US, BD, M Best Open MRI* 5132637, 2343392 2821 US Hwy. 27 North Sebring, FL 33870 Phone: 863-402-0938 / Fax: 863-402-0946 Hours: M-Thur 8 am - 5 pm; Fri 8 am - 12 pm Svcs: OMR, CT, X, US West Florida Pet Services, 9058242, 6343349 510 Vonderburg Drive, Suite 3009 Phone: 813-657-4914 / Fax: 813-657-4916 Svcs: PET Women's Diagnostic Center* 8206400, 569144 1357 Oakfield Drive Phone: 813-684-5144 / Fax: 813-684-5084 Svcs: X, US, M Lutz BayCare Outpatient Imaging* 7270781, 4302072 4211 Van Dyke Road Lutz, FL 33558 Phone: 813-265-6300 / Fax: 813-265-6319 Hours: M-F 7:00 am - 5:30 pm Svcs: MR, CT, X, US, M Tower Radiology Center-North Dale Mabry* 9037651, 4203048 17503 North Dale Mabry Hwy. Lutz, FL 33548 Phone: 813-968-4540 / Fax: 813-968-4502 Svcs: OMR, X, US, BD, M Riverview 7385314, 5053053 7239 Hwy. 301 South Riverview, FL 33578 Phone: 813-677-3888 Sat by Appt Svcs: MR, CT, X, US, BD, M Ruskin Sun City Center Open MRI 7814161, 4141452 725 Cortaro Drive, Suite 8 Ruskin, FL 33573 Phone: 813-642-0887 Svcs: MR, OMR, X, BD Sun City Center Total Imaging of Sun City-HCA Affiliate* 7874322, 9431604 3862 Sun City Center Blvd. Sun City Center, FL 33573 Phone: 813-642-9299 / Fax: 813-633-3565 SS by appt Svcs: MR, OMR, CT, X, US, M Tampa Advanced Diagnostic Group* 7638003, 7561911 1931 West Martin L King Blvd., Suit F Tampa, FL 33607 Phone: 888-234-5575 / Fax: 813-849-6349 Svcs: OMR, X 7638003, 566912 3104 West Waters Avenue, Suite 106 Tampa, FL 33614 Phone: 888-234-5575 / Fax: 866-876-5819 Svcs: MR, X 7638003, 4803093 607 West Martin L King Blvd., Suite 103 Tampa, FL 33602 Phone: 888-234-5575 / Fax: 813-849-6349 Svcs: MR, OMR, X 2 of 7

Bay Area Imaging Services 5353088, 6511215 4150 North Armenia Avenue, Suite 102 Tampa, FL 33607 Phone: 813-998-0600 Hours: M-F 8:00 am - 8:00 pm Sat 8:00 am - 12:00 pm Svcs: MR, OMR, X, US Bay View Radiology* 7763588, 9152612 10010 North Dale Mabry Hwy., Suite 150 Tampa, FL 33618 Phone: 813-964-8439 / Fax: 813-964-0908 Svcs: MR, CT, X, US, M BayCare Outpatient Imaging* 7270781, 6263649 12780 Racetrack Raod Tampa, FL 33625 Phone: 813-265-6300 / Fax: 813-265-6319 Hours: M-F 7:00 am - 5:30 pm Svcs: MR, CT, X, US, M 8202455, 146204 3003 West Martin Luther King Blvd. Tampa, FL 33607 Phone: 813-870-4826 / Fax: 813-554-8396 Svcs: MR, CNM, CT, PET, X, US, M 8202195, 6762163 Tower Breast Diagnostic Center Habana* 4719 North Habana Avenue Tampa, FL 33614 Phone: 813-875-3797 / Fax: 813-872-0379 Hours: M-F 7:30-5:00, Sat 7:30 am - 2:00 pm Svcs: MR, CNM, CT, PET, X, FL, US, BD, M Clearview Open MRI 7193208, 140343 3707 West Hamilton Avenue, Suite B Tampa, FL 33614 Phone: 813-932-8868 / Fax: 813-932-2826 Hours: M-F 6:30 am - 8:30 pm; SS by appt Svcs: MR, OMR, X Park Place MRI* 5650768, 8001102 6800 North Dale Mabry, Suite 144 Tampa, FL 33614 Phone: 813-886-9999 / Fax: 813-885-2800 Hours: M-F 6:00 am - 10:00 pm Sat 8:00 am - 4:00 pm Svcs: MR, OMR, CT, X, US Phycon Medical Sciences, Inc.* 4634364, 9122639 13325 North 56th Street, Suite A Tampa, FL 33617 Phone: 813-985-5818 / Fax: 813-985-1571 Hours: M-F 8:30 am - 5:00 pm Svcs: US 7385314, 5832542 2605 West Kennedy Blvd. Tampa, FL 33609 Phone: 813-876-7200 / Fax: 813-876-7300 Sat by Appt Svcs: OMR, X 7385314, 963758 5107 North Armenia Avenue, Suite B Tampa, FL 33603 Phone: 813-874-2999 / Fax: 813-874-7673 Sat by Appt Svcs: MR, CT, PET, X, FL, US, M SDI Diagnostic Imaging 8205050, 8541883 2222 West Swann Avenue Tampa, FL 33606 Phone: 813-259-1900 Hours: M-F 7:15 am - 5:00 pm Svcs: OMR, CT, X, FL, US, M 8205050, 66527 4516 North Armenia Avenue Tampa, FL 33603 Phone: 813-348-6900 Hours: M-F 7:15 am - 5:00 pm Svcs: MR, CT, X, US, M Signet Diagnostic Imaging Services, L.L.C.* 7390663, 4211567 3805 Henderson Blvd. Tampa, FL 33629 Phone: 813-639-1674 / Fax: 813-639-1613 Hours: M-F 7:00 am - 8:00 pm Sat 8:00 am - 1:00 pm Svcs: MR, CNM, CT, PET, X, US, BD, M Tampa Bay Imaging, 7411287, 4912092 2700 West Martin K. King Jr. Blvd., Suite 130 Tampa, FL 33607 Phone: 813-386-3674 Hours: M-F 7:30 am - 10:00 pm Svcs: MR, CT Tower Breast Diagnostic Center - Northside* 8204615, 1533204 2716 University Square Drive Tampa, FL 33612 Phone: 813-971-2050 / Fax: 813-253-2299 Svcs: MR, X, US, M Tower Radiology Center Bruce B. Downs* 7486345, 873370 3069 Grand Pavilion Drive Tampa, FL 33613 Phone: 813-977-9777 / Fax: 813-977-8222 Hours: M-F 7:00 am - 7:30 pm Sat 8:00 am - 2:00 pm Svcs: MR, CNM, CT, X, FL, US, BD Tower Radiology Center South Tampa* 7293351, 4050777 2106 South Lois Avenue Tampa, FL 33629 Phone: 813-288-8839 / Fax: 813-288-8849 Svcs: MR, OMR, CT, X, US, BD, M 7293351, 8951463 Tower Diagnostic Center* 8202205, 8951463 4719 North Habana Avenue Tampa, FL 33614 Phone: 813-874-7000 / Fax: 813-874-5534 Hours: M-F 7:30 am - 5:00 pm, Sat 7:30 am - 2:00 pm Svcs: MR, CNM, CT, PET, X, FL, US, BD, M Tower Diagnostic Center-Carrollwood* 8202805, 6570738 14499 North Dale Mabry Hwy., Suite 150 Tampa, FL 33618 Phone: 813-968-6998 / Fax: 813-265-1035 Hours: M-F 7:30 am - 5:00 pm, Sat 7:30 am - 2:00 pm Svcs: MR, CNM, CT, X, FL, US, BD, M Tower Imaging Inc 9608303, 873370 3069 Grand Pavilion Drive Tampa, FL 33613 Phone: 813-977-9777 Svcs: X, FL, US, M Tower OpenScan MRI* 5007415, 4621194 14525 Bruce B. Downs Blvd. Tampa, FL 33613 Phone: 813-972-0669 / Fax: 813-972-3551 Svcs: MR, OMR, X, US, M 5007415, 9120591 3416 West Swann Avenue Tampa, FL 33609 Phone: 813-878-2424 / Fax: 813-878-2321 Svcs: MR, OMR, X, US, M University Diagnostic Institute, LTD.* 8207646, 5413113 3301 USF Alumni Drive Tampa, FL 33612 Phone: 800-767-6747 Svcs: MR, OMR, CT, X Vymed Diagnostic Imaging Tampa, L.L.C.* 7598679, 7272549 10010 North Dale Mabry Hwy., Suite 160 Tampa, FL 33618 Phone: 813-264-7176 Svcs: PET LEE COUNTY Bonita Springs Bonita Community Radiology* 9644205, 5671409 3501 Health Center Blvd. Bonita Springs, FL 34135 Phone: 239-949-1050 Svcs: MR, CT, X, FL, US, BD, M 3 of 7

Radiology Regional Center* 8202375, 4071974 9776 Bonita Beach Road Southeast Bonita Springs, FL 34135 Phone: 239-444-2200 / Fax: 239-444-2210 Svcs: MR, CNM, CT, X, FL, US, M Cape Coral A1 Imaging of Cape Coral* 7685216, 6033931 1003 Del Prado Blvd., UNIT 102 Cape Coral, FL 33990 Phone: 239-573-6333 / Fax: 239-573-8674 Svcs: MR Advanced Radiology Imaging Associates, 7333880, 6933540 2721 Del Prado Blvd., S-102 Cape Coral, FL 33904 Phone: 239-333-2742 / Fax: 239-333-4329 Hours: M-F 7:00 am - 6:00 pm Svcs: MR, CNM, CT, X, US, BD 7333880, 1003462 2721 Del Prado Blvd., Suite 230B Cape Coral, FL 33904 Phone: 239-333-2742 / Fax: 239-333-4329 Hours: M-F 7:00 am - 6:00 pm Svcs: MR, CNM, CT, X, US, BD Radiology Regional Center* 8202375, 3332149 1708 Cape Coral Pkwy. West, Suites E & F Cape Coral, FL 33914 Phone: 239-541-3800 / Fax: 239-541-3838 Svcs: MR, OMR, CNM, CT, X, FL, US, BD, M 8202375, 2310709 805 Del Prado Blvd. Cape Coral, FL 33990 Phone: 239-458-1744 / Fax: 239-458-1955 Svcs: MR, CNM, CT, X, FL, US, BD, M Estero Radiology Regional Center* 8202375, 8383006 10201 Acros Avenue, Suite 101 Estero, FL 33928 Phone: 239-444-5801 / Fax: 239-444-5880 Svcs: MR, CNM, CT, X, FL, US, BD, M Fort Myers Advanced Radiology Imaging Associates, 7333880, 6493220 13731 Metropolis Avenue Fort Myers, FL 33912 Phone: 239-333-2742 / Fax: 239-333-4329 Hours: M-F 7:00 am - 6:00 pm Svcs: MR, CNM, CT, X, US, BD Florida Radiology Leasing, 7072849, 4251216 15000 Shell Point Blvd. Fort Myers, FL 33908 Phone: 239-415-5473 / Fax: 239-938-3580 Hours: M-F 7:30 am - 5:00 pm Svcs: MR, CNM, CT 7072849, 8751987 63 Barkley Circle, Suite 100 & 101 Fort Myers, FL 33907 Phone: 239-938-3571 / Fax: 239-938-3580 Hours: M-F 7:30 am - 5:00 pm Svcs: MR, CNM, CT, X, FL, US 7072849, 9081407 6311 South Pointe Blvd. Phone: 239-938-3565 / Fax: 239-938-3580 Hours: M-F 7:30 am - 5:00 pm Svcs: MR, CNM, CT, X, FL, US Radiology Regional Center* 8202375, 124939 3680 Broadway Fort Myers, FL 33901 Phone: 239-936-2316 / Fax: 239-936-3099 Svcs: MR, CNM, CT, X, FL, US, BD, M 8202375, 4412704 6100 Winkler Road Phone: 239-985-3272 / Fax: 239-985-3214 Svcs: MR, CNM, CT, X, FL, US, M 8202375, 536385 6140 Winkler Road Phone: 239-489-4466 / Fax: 239-489-3803 Svcs: MR, CNM, CT, X, FL, US, M 8202375, 3111913 8200 College Pkwy. Phone: 239-454-4674 / Fax: 239-454-2724 Svcs: MR, CNM, CT, X, FL, US, M Summerlin Imaging Center* 7278586, 922548 20 Barkley Circle, Suite 104 Fort Myers, FL 33907 Phone: 239-425-0370 / Fax: 239-425-0380 Svcs: MR, CT, X, US Women's Breast Health Center of Fort Myers* 4473269, 366738 9981 Healthpark Circle, Suite 287 Fort Myers, FL 33918 Phone: 239-432-3700 Hours: M-Th 8:00 am - 5:00 pm, Fri 8:00 am - 4:00 pm Svcs: X Fort Myers Beach Florida Radiology Leasing, 7072849, 5113747 1661 Estero Blvd. Fort Myers Beach, FL 33931 Phone: 239-938-3535 / Fax: 239-938-3580 Hours: M-F 7:30 am - 5:00 pm Svcs: MR, CNM, CT, X, FL, US Lehigh Acres Radiology Regional Center* 8202375, 1071631 1110 Lee Blvd. Lehigh Acres, FL 33936 Phone: 239-936-2316 / Fax: 239-344-1035 Svcs: MR, OMR, CNM, CT, X, FL, US, BD, M Sanibel Florida Radiology Leasing, 7072849, 536297 1699 Periwinkle Way Sanibel, FL 33957 Phone: 239-472-4165 / Fax: 239-938-3580 Hours: M-F 7:30 am - 5:00 pm Svcs: MR, CNM, CT, X, FL, US MANATEE COUNTY Bradenton Bowes Imaging Center* 7056643, 4821059 6015 Pointe West Blvd., Suite 102 Phone: 941-782-0490 / Fax: 941-782-0496 Svcs: MR, CT, X, US Dimensional Imaging, Inc.* 7278558, 394555 5817 21st Avenue West Phone: 941-951-1888 / Fax: 941-951-1910 Svcs: MR, CT, X, US Imaging for Life* 7226540, 6621908 2301 60th Street Court West, Suite A Phone: 941-795-3780 / Fax: 941-795-3790 Svcs: CT, PET Lakewood Ranch Imaging Center 7365592, 9862024 8340 Lakewood Ranch Blvd., Suite 100 Bradenton, FL 34202 Phone: 941-782-3050 / Fax: 941-782-3055 Hours: M-F 8:00 am - 8:00 pm Svcs: MR, CT, X Manatee Diagnostic Center, LTD* 8207941, 452875 2211 60th Street West Phone: 941-749-1212 Svcs: MR, CT, X, FL, US, M 4 of 7

8207941, 430642 300 Riverside Drive East, Suite 1400 Bradenton, FL 34208 Phone: 941-747-3034 Svcs: MR, CT, X, FL, US, M 8207941, 139481 300 Riverside Drive East, Suite 4300 Bradenton, FL 34208 Phone: 941-747-3034 Svcs: MR, CNM, CT, X, FL, US, BD, M Park South Imaging Center 8208256, 577627 6215 21st Avenue West, Suite A Phone: 941-795-4449 Hours: M-F 7:00 am - 5:00 pm MRI's 6:00 am - 11:00 pm Sat 7:00 am - 3 pm Svcs: MR, CT, PET Partner's Imaging of Bradenton* 7037609, 8492171 5101 4th Avenue Circle East, Suite 100 Bradenton, FL 34208 Phone: 941-782-0414 / Fax: 941-782-0418 Svcs: MR, OMR, CT, PET, X, US, M Precise Ultrasound, Inc.* 7968806, 9503067 2005 Manatee Avenue West Bradenton, FL 34205 Phone: 941-708-9200 / Fax: 941-708-9888 Svcs: US 7385314, 8663398 10910 State Road 70 Bradenton, FL 34202 Phone: 941-755-5257 / Fax: 941-755-4856 Sat by Appt Svcs: MR, CT, X, US PASCO COUNTY Dade City Pasco Regional Medical Center* 6200290, 265328 13100 Fort King Road Dade City, FL 33525 Phone: 352-521-1100 Svcs: X, US, M Hudson Pasco Imaging and Open MRI Center* 7628074, 1031194 7615 Jacque Road Hudson, FL 34667 Phone: 727-697-0100 / Fax: 352-688-7222 Svcs: MR, OMR, CT, X, FL, US, BD, M Radiology Associates of West Pasco* 8203675, 8051334 7509 State Road 52, Suite 140 Hudson, FL 34667 Phone: 727-847-5122 Svcs: X, US, BD, M New Port Richey Wesley Chapel BayCare Outpatient Imaging* 5502448, 5121391 7385314, 5213737 2102 Trinity Oaks Blvd. 27662 Cashford Circle New Port Richey, FL 34655 Wesley Chapel, FL 33544 Phone: 727-372-4000 / Fax: 727-372-4065 Phone: 813-788-2500 / Fax: 813-788-2922 Hours: M-F 6:00 am - 7:00 pm Sat by Appt Svcs: MR, CNM, CT, PET, X, FL, US, BD, M Svcs: OMR, CT, PET, X, US, BD, M Excel Medical Imaging, P.L.* 7928309, 140090 5626 Gulf Drive New Port Richey, FL 34652 Phone: 727-841-8212 / Fax: 727-841-9589 Svcs: MR, OMR, CNM, CT, PET, X, FL, US, BD, M Radiology Associates of West Pasco* 8203675, 5943242 2115 Little Road New Port Richey, FL 34655 Phone: 727-841-8225 Hours: M-F 9:00 am - 5:30 pm Svcs: US, M 8203675, 970725 5539 Marine Pkwy. New Port Richey, FL 34652 Phone: 727-841-8225 / Fax: 727-848-1016 Hours: M-F 7:30 am - 8:00 pm, Sat 8:00 am - 12:00 pm Svcs: X, FL, US, BD, M Signet Diagnostic Imaging Services, L.L.C.* 7390663, 2752156 4807 U.S. Hwy. 19, Suite 102 New Port Richey, FL 34652 Phone: 727-848-2727 / Fax: 727-264-4000 Svcs: MR, OMR, CNM, CT, X, US Odessa WestCoast Radiology* 5525337, 3984199 2040 Short Aven., #130 Odessa, FL 33556 Phone: 727-835-1450 / Fax: 727-835-1470 Svcs: OMR, CT, X, US, M Port Richey Florida Institute for Advanced Diagnostic Imaging 7949020, 5811518 9238 US Hwy. 19 Port Richey, FL 34668 Phone: 727-868-2152 / Fax: 727-849-3472 Svcs: MR, OMR, CNM, CT, PET, X, US, S Trinity 7385314, 7573683 2144 Duck Slough Blvd. Trinity, FL 34655 Phone: 727-375-8880 / Fax: 727-375-8887 Sat by Appt Svcs: MR, CT, PET, X, US, M Tower Radiology Center Wesley Chapel* 9910259, 2163442 2324 Oak Myrtle Lane Wesley Chapel, FL 33544 Phone: 813-751-0422 / Fax: 813-751-0423 Hours: M-F 8:00 am - 5:30 pm Svcs: MR, CT, X, US, BD, M Zephyrhills 7385314, 6830775 6900 Gall Blvd. Zephyrhills, FL 33542 Phone: 813-783-6736 / Fax: 813-788-4299 Sat by Appt Svcs: OMR, CT, X, US, BD, M PINELLAS COUNTY Clearwater Advanced Intervention* 7727283, 941624 2655 State Road 580, Suite 202 Clearwater, FL 33761 Phone: 727-791-7300 / Fax: 727-723-9010 Hours: M-F 7:00 am - 6:00 pm Svcs: MR, CT Carlisle Imaging Center* 4578405, 1313994 400 Pinellas Street, Suite 101 Clearwater, FL 33756 Phone: 727-462-7514 / Fax: 727-462-7613 Svcs: X, US Susan Cheek Needler Breast Center* 9601673, 5844041 400 Pinellas Street, Suite 100 Clearwater, FL 33756 Phone: 727-462-7514 / Fax: 727-462-7613 Svcs: X, US, M WestCoast Radiology* 5525337, 4590188 501 South Lincoln Avenue, Suite 15 Clearwater, FL 33756 Phone: 727-446-6760 / Fax: 727-441-2465 Svcs: OMR, CNM, CT, PET, X, US, S, BD, M Dunedin BayCare Outpatient Imaging Center* 7256780, 3781028 1064 Keene Road Dunedin, FL 34698 Phone: 727-733-9202 / Fax: 727-733-9233 Hours: M-F 8:30 am - 5:00 pm Svcs: MR, OMR, CT, PET, X, US, M 5 of 7

Largo BayCare Outpatient Imaging* 4578408, 720886 8787 Bryan Dairy Road Largo, FL 33777 Phone: 727-394-5900 / Fax: 727-394-5170 Hours: M-F 8:00 am - 10:00 pm for MRI M-F 8:00 am - 5:00 pm Svcs: MR, OMR, CNM, CT, PET, X, US, BD, M 7385314, 3342198 13787 Belcher Road South Largo, FL 33771 Phone: 727-531-5444 / Fax: 727-531-1122 Sat by Appt Svcs: MR, CT, X, FL, US, BD, M Oldsmar SDI Diagnostic Imaging 8205050, 8471345 3870 Tampa Road Oldsmar, FL 34677 Phone: 813-855-8282 Hours: M-F 7:30 am - 6:00 pm Sat 8:00 am - 12:00 pm Svcs: MR, CT, X, FL, US, BD, M Palm Harbor Palm Harbor MRI 5672010, 9841600 32615 US Hwy. 19 North, Suite 4 Palm Harbor, FL 34684 Phone: 727-787-6900 Hours: M-F 6:00 am - 12:00 am Sat 7:00 am - 3:00 pm Svcs: MR, CT, X, US, BD, M 7385314, 9781605 4133 Woodlands Pkwy. Palm Harbor, FL 34685 Phone: 727-781-3888 / Fax: 727-781-3881 Sat by Appt Svcs: MR, OMR, CT, PET, X, FL, US, BD, M WestCoast Radiology* 5525337, 5632629 36463 U.S. Hwy. 19 North Palm Harbor, FL 34684 Phone: 727-771-2795 / Fax: 727-786-7265 Svcs: MR, CNM, CT, PET, X, US, BD, M Pinellas Park Gateway Radiology Consultants* 8202360, 2543571 4800 Park Blvd. Phone: 727-525-2121 / Fax: 727-526-5872 Hours: MTTH 8am-7pm; WF 8am - 5pm Svcs: MR, CNM, CT, PET, X, US, BD, M Magnetic Resonance Associates* 8207421, 4991807 6500 66th Street Phone: 727-548-6736 / Fax: 727-548-0647 Svcs: MR, OMR National P.E.T.Scan - Pinellas, L.L.C.* 7642379, 3363740 National P.E.T. Scan-Pinellas, LLC 6600 66th Street North, Suite B Phone: 727-471-1000 Svcs: MR, CNM, CT, PET Signet Diagnostic Imaging Services, L.L.C.* 7390663, 4792210 6016 Park Blvd. Phone: 877-800-2450 / Fax: 727-362-3000 Hours: M-F 8:30 am - 4:30 pm Svcs: MR, OMR, CNM, CT, X Tampa Bay Imaging, 7411287, 1280266 7800 66th Street North, Suite 106 Phone: 727-545-9674 / Fax: 727-545-9454 Hours: M-F 7:30 am - 11:00 pm Svcs: MR, OMR, CT, X Seminole Open MRI of Pinellas, Inc.* 7294041, 13816 9555 Seminole Blvd., Suite 101 Seminole, FL 33772 Phone: 727-398-5999 / Fax: 727-398-1990 Hours: M-F 9:00 am - 5:30 pm Svcs: MR, OMR, CT, X, US, BD, M St. Petersburg BayCare Outpatient Imaging* 7486453, 1401751 900 Carillon Pkwy. St. Petersburg, FL 33716 Phone: 727-561-2300 / Fax: 727-561-9854 Svcs: MR, CT, PET, X, FL, US, M Central Imaging Open MRI, Inc.* 5277637, 7730857 6101 Central Avenue St. Petersburg, FL 33710 Phone: 727-381-4674 Sat 8:00 am - 1:00 pm Svcs: MR, OMR, X, US Diagnostic Imaging at Baywalk* 7430361, 2961718 129 North 1st Avenue St. Petersburg, FL 33701 Phone: 727-896-2273 Hours: M, W, Th, F 7:00 am - 8:45 pm, Tue 8:00 am - 7:00 pm, SS 8:00 am - 4:00 pm Svcs: MR, OMR, CT, PET, X, M Diagnostic Outpatient Center* 5121179, 5401494 400 12th Avenue North, Suite 400 St. Petersburg, FL 33701 Phone: 727-896-2202 Hours: M-F 6:00 am - 10:00 pm Sat 8:00-2:00 pm Svcs: MR, OMR, CT, X, US, BD, M Price, Hoffman, Stone and Associates 8202425, 7792631 129 1st Avenue North St. Petersburg, FL 33701 Phone: 727-896-2273 Svcs: MR, CT, PET, X, US, M 8202425, 94893 701 6th Street South St. Petersburg, FL 33701 Phone: 727-823-1234 Svcs: MR, CT, PET, X, US, M 8202425, 7990219 747 6th Avenue South St. Petersburg, FL 33701 Phone: 727-898-3647 Svcs: X, US, M Saint Pete MRI 5672626, 8630944 750 94th Avenue North, Suite 206 St. Petersburg, FL 33702 Phone: 727-577-2220 Hours: M-F 6:00 am - 10:00 pm Sat 8:00-4:00 pm Svcs: MR, CT, X, US St Anthonys Pet CT Center* 7507801, 1452764 1201 Fifth Avenue North, Suite 100 St. Petersburg, FL 33705 Phone: 727-820-7600 / Fax: 727-860-7613 Svcs: MR, CT, PET WestCoast Radiology* 5525337, 168817 3451 66th Street North, Suite B St. Petersburg, FL 33710 Phone: 727-347-4674 / Fax: 727-344-0144 Svcs: OMR POLK COUNTY Lakeland Lakeland Open MRI 4517007, 7340522 3830 South Florida Avenue Lakeland, FL 33813 Phone: 800-590-1674 Hours: M-F 8:00 am - 4:00 pm Sat 8:00 am - 1:00 pm Svcs: MR, OMR, X 6 of 7

Winter Haven Advance Technological Radiology, P.A. 7058340, 2541643 315 Central Avenue East Winter Haven, FL 33880 Phone: 863-295-5674 Svcs: X, FL, US, M SARASOTA COUNTY Sarasota Choice Diagnostic Imaging 9133252, 4043532 5831 Bee Ridge Road, Suite 102 Sarasota, FL 34233 Phone: 941-355-9324 / Fax: 941-351-3696 Svcs: MR, CT, X, US, BD, M Dimensional Imaging, Inc.* 7278558, 7011989 2 North Tuttle Avenue Sarasota, FL 34237 Phone: 941-951-1888 / Fax: 941-951-1910 Svcs: MR, OMR, CT, X, US, BD, M Imaging for Life PET Scan* 7534319, 9781666 2030 Bee Ridge Road, Suite A Sarasota, FL 34239 Phone: 941-921-0383 / Fax: 941-921-0394 Svcs: CT, PET Partner's Imaging Center of Sarasota, 7716888, 8312889 1250 South Tamiami Trail, Suite 103 Sarasota, FL 34239 Phone: 941-951-2100 / Fax: 941-894-3123 Svcs: MR, CT, PET, X, US, M Partner's Imaging of East Sarasota* 7699829, 9412742 600 North Cattlemen Road, Suite 100 Sarasota, FL 34232 Phone: 941-342-0505 / Fax: 941-487-5800 Svcs: MR, OMR, CT, PET, X, US 7385314, 6362135 4917 Clark Road Sarasota, FL 34233 Phone: 941-927-7711 / Fax: 941-927-7710 Sat by Appt Svcs: OMR, CT, PET, X, FL, US, BD, M Venice Dimensional Imaging, Inc.* 7278558, 2964015 1370 East Venice Avenue, Suite 101 Venice, FL 34285 Phone: 941-951-1888 / Fax: 941-951-1910 Svcs: MR, X Partner's Imaging of Venice* 7019317, 931865 842 Sunset Lake Blvd., Suite 301 Venice, FL 34292 Phone: 941-441-0060 / Fax: 941-441-0070 Svcs: MR, CT, PET, X, US Radiology Associates of Venice and Englewood* 5150524, 212280 512-516 Nokomis Avenue South Venice, FL 34285 Phone: 941-488-7781 / Fax: 941-486-8991 Svcs: X, FL, US, M Note(s): These procedures may require pre-authorization. Aetna's radiology management vendors may have more current information that will supersede the information contained within this List. Effective January 1, 2012, Aetna requires all providers administering high-tech radiology services to be accredited by the American College of Radiology and/or the Intersocietal Accreditation Commission. Any provider performing these services who has not been accredited at the time of service will not be eligible for payment. Therefore, Aetna s radiology management vendors will offer alternative providers who have been determined to be accredited in accordance with these standards. 7 of 7

Aetna "Select Provider" Listing - Sleep Studies FLORIDA CHARLOTTE COUNTY Port Charlotte Cornerstone Diagnostic Sleep Center* 9230197, 6393350 17218 Toledo Blade Blvd., Unit 7 Port Charlotte, FL 33954 Phone: 941-624-0131 / Fax: 941-624-0277 CITRUS COUNTY Inverness Advanced Sleep Diagnostics Center* 7936611, 9283056 304 South Line Avenue Inverness, FL 34452 Phone: 352-751-0235 / Fax: 352-751-6777 COLLIER COUNTY Naples Total Sleep Management, Inc. 7376570, 5650526 694 8th Street North Phone: 239-444-1919 / Fax: 239-444-1921 HERNANDO COUNTY Spring Hill Florida Sleep Institute 7733577, 9732489 4075 Mariner Blvd. Spring Hill, FL 34609 Phone: 352-683-7885 / Fax: 352-683-7877 Hours: M-F 9:00 am - 6:00 am - SS by appt Sleep Associates Of Florida* 7833346, 7952358 8425 Northcliffe Blvd., Suite S106 Spring Hill, FL 34606 Phone: 352-686-3757 / Fax: 352-686-3772 Hours: M-F 9:00 am - 6:00 am HILLSBOROUGH COUNTY Tampa Bay Area Sleep Associates, 7355523, 7522228 1323 West Fletcher Avenue Tampa, FL 33612 Phone: 813-264-9050 / Fax: 813-269-4301 Hours: M-F 9:00 am - 6:00 am - SS by appt Sleep Professionals of Florida 9915169, 9013205 3628 Madaca Lane Tampa, FL 33618 Phone: 813-928-9770 / Fax: 813-928-6350 SleepMed, Inc. dba Digitrace Care Services* 7618325, 8221725 4710 North Habana, Suite 302 Tampa, FL 33614 Phone: 813-874-8806 Temple Terrace CardioHealth Sleep Center of North Tampa* 7185850, 3343086 13089 Telecom Pkwy. Temple Terrace, FL 33637 Phone: 813-960-6100 / Fax: 813-960-6144 LEE COUNTY Bonita Springs Sleep Health Center* 7037231, 5131371 28331 South Tamiami Trail, Suite 2 Bonita Springs, FL 34134 Phone: 239-948-1877 / Fax: 239-466-2035 Total Sleep Management, Inc. 7376570, 8922659 9550 Bonita Beach Road, Southeast, Suite 108 Bonita Springs, FL 34135 Phone: 239-444-1919 / Fax: 239-444-1921 Hours: M-F 8:00 am - 6:00 am - SS by appt Fort Myers Professional Sleep Analysis, 7397797, 3472672 16261 Bass Road, Suite 201 Fort Myers, FL 33908 Phone: 239-278-0100 / Fax: 239-278-0110 Sleep Health Center* 7037231, 2343663 14651 Palm Beach Blvd., Suite 105 Fort Myers, FL 33905 Phone: 239-333-1530 / Fax: 239-466-2035 7037231, 9672804 8381 Riverwalk Park Blvd., Suite 201 Phone: 239-466-2030 / Fax: 239-466-2035 Sleep Management Centers, 7818893, 6382861 6350 Techster Blvd., Suite 2 Fort Myers, FL 33966 Phone: 239-334-8144 / Fax: 239-210-0048 MANATEE COUNTY Bradenton Bay Area Sleep Associates, 7355523, 991310 1021 Carlton Arms Blvd. Bradenton, FL 34208 Phone: 800-797-7533 / Fax: 813-264-4301 Hours: M-F 9:00 am - 6:00 am - SS by appt SleepMed, Inc. dba Digitrace Care Services* 7618325, 5053697 7005 Cortez Road West, Suite 101 Bradenton, FL 34210 Phone: 941-795-1612 PASCO COUNTY New Port Richey Sleep Associates Of Florida* 7833346, 4642318 4508 Mayflower Drive New Port Richey, FL 34652 Phone: 727-849-2500 / Fax: 727-849-8810 Hours: M-F 9:00 am - 6:00 am Wesley Chapel New Tampa Sleep Center* 7050422, 5992718 2824 Windguard Circle Wesley Chapel, FL 33544 Phone: 813-991-7335 / Fax: 813-991-7331 PINELLAS COUNTY Clearwater Sleep Management* 7944438, 2532996 5500 Rio Vista Drive Clearwater, FL 33760 Phone: 727-524-2896 / Fax: 727-524-2516 Palm Harbor Bay Area Sleep Associates, 7355523, 1451984 350 Alt 19, Suite C Palm Harbor, FL 34683 Phone: 800-797-7533 Hours: M-F 9:00 am - 6:00 am - SS by appt Sleep Management* 7944438, 4052846 36434 U.S. Hwy. 19 North Palm Harbor, FL 34684 Phone: 727-524-2896 / Fax: 727-524-2516 Pinellas Park Sleep Associates Of Florida* 7833346, 2812056 8130 66th Street North, Suite 2 Phone: 727-434-2500 / Fax: 727-410-8810 Hours: M-F 9:00 am - 6:00 am POLK COUNTY Lakeland Bay Area Sleep Associates, 7355523, 1541859 601 South Florida Avenue, Suite 3 Lakeland, FL 33801 Phone: 813-264-9050 / Fax: 813-264-4301 Hours: M-F 9:00 am - 6:00 am - SS by appt Winter Haven Bay Area Sleep Associates, 7355523, 9641917 151 1st Street South, Suite D Winter Haven, FL 33880 Phone: 800-797-7533 Hours: M-F 9:00 am - 6:00 am - SS by appt 1 of 1

Cypress Sleep Disorder* 7508578, 5762951 150 Southeast Plaza Road Winter Haven, FL 33880 Phone: 863-295-7799 / Fax: 863-295-7757 Polk Sleep Disorders, LLC 7223928, 4502902 344 East Central Avenue Winter Haven, FL 33880 Phone: 863-299-0302 / Fax: 863-299-0370 SARASOTA COUNTY Sarasota HealthSleep of Sarasota* 9828329, 1753548 2020 Cattleman Road, Suite 300 Sarasota, FL 34232 Phone: 941-556-7098 / Fax: 941-377-6079 Aetna "Select Provider" Listing - Sleep Studies 2 of 2

Aetna "Select Provider" Listing - Ambulatory Surgery FLORIDA CHARLOTTE COUNTY Port Charlotte Charlotte Endoscopic Surgery Center* 7304376, 9762226 23970 Suncoast Blvd. Port Charlotte, FL 33980 Phone: 941-625-3636 Hours: M-Th 6:00 to 4:30; Fri - 7:30 to 4:00, OPT Murdock Ambulatory Surgery Center, Ltd., LLP* 7675909, 4392672 1400 Education Way Port Charlotte, FL 33948 Phone: 941-625-9800 / Fax: 941-625-3492 Hours: 6:00 am - 5:00 pm M-F, ORP, ENT, Plastic, GYN Punta Gorda Harborside Surgery Center, Inc. 4657300, 574738 610 East Olympia Avenue, Suite 100 Punta Gorda, FL 33950 Phone: 941-637-0065 Hours: M-F 6:30 am to 4:00 pm Svcs: GEN, ORP, GYN, Breast, Podiatric CITRUS COUNTY Crystal River Citrus Endoscopy & Surgery Center* 7205507, 5640545 6412 West Gulf To Lake Hwy. Crystal River, FL 34429 Phone: 352-563-0223 / Fax: 352-795-2301 Hours: M-F 7:00 am to 3:00 pm Inverness Suncoast Endoscopy Center* 7275338, 2821460 3621 East Forest Drive Inverness, FL 34453 Phone: 352-637-2787 / Fax: 352-637-2525 Hours: M-F 7:00 am to 3:30 pm COLLIER COUNTY Naples Doctors Outpatient Surgery Center 7758709, 1552516 1005 Crosspointe Drive, Suite 2 Naples, FL 34110 Phone: 239-566-5748 / Fax: 239-566-5872 Hours: M-Th 7:00 am - 5:00 pm, F 8:00 am - 4:00 pm Svcs: GEN Gulfshore Endoscopy Center, Inc.* 5365129, 4890269 1084 Goodlette Road Phone: 239-435-9330 / Fax: 239-435-1736 Hours: M-F 6:30 am - 3:00 pm Naples Day Surgery, 8206992, 9970160 11161 Health Park Blvd. Naples, FL 34110 Phone: 239-436-6711 / Fax: 239-597-7348 Hours: M-F 6:30 to 5:00 Svcs: GEN, EN, OPT, ORP 8206992, 5341885 311 9th Street North, Suite 200 Phone: 239-263-5501 / Fax: 239-236-5510 Hours: M-F 6:30 am to 5:00 pm Svcs: GEN, EN, OPT, ORP, UR Physicians Day Surgery Center, Inc.* 5486615, 7160863 850 111th Avenue North Naples, FL 34108 Phone: 239-596-2557 / Fax: 239-596-2563 Hours: M-F 6:30 am to 5:00 pm Svcs: GEN, OPT, ORP, UR Total Surgery Center* 4608360, 7680584 130 Tamiami Trail North, Suite 210 Phone: 239-434-8707 / Fax: 239-434-6343 Hours: M-F 6:30 am - 4:30 pm Svcs: GEN 4608360, 3991939 5077 Tamiani Trail E Naples, FL 34113 Phone: 239-732-1133 Hours: M-F 6:30 am - 4:30 pm Svcs: GEN HERNANDO COUNTY Brooksville All Saints Surgery Center* 4598730, 6581992 11377 Cortez Blvd. Brooksville, FL 34613 Phone: 352-597-3060 / Fax: 352-597-3077 Hours: M-F 6:00 am - 5:00 pm Svcs: GEN, EN, OPT, ORP, UR, Gynecologic, Podiatric, Ent Florida Endoscopy and Surgery Center, 7576146, 2041357 12900 Cortez Blvd., Suite 103 Brooksville, FL 34613 Phone: 352-596-1145 Hours: M-F 8:00 am - 4:00 pm, OPT Hernando Endoscopy and Surgery Center* 5832433, 7000604 12180 Cortez Blvd. Brooksville, FL 34613 Phone: 352-596-4999 Hours: 6:30 am - 5:00 pm, OPT, ORP, UR, GYN, Podiatry, Plastic, Podiatric HIGHLANDS COUNTY Sebring NovaMed Surgery Center of Sebring, 4425446, 9910181 3601 South Highlands Avenue Sebring, FL 33870 Phone: 863-382-7500 Hours: M-Th 8:00 to 5:00; Fri 8:00 to 12:00 Svcs: GEN, EN, ORP, Pain Mgmt, Podiatry, Ent Surgical Center at Sun 'N Lake 9670216, 1033412 4240 Sun North Lake Blvd., Suite 200 Sebring, FL 33872 Phone: 863-314-4466 Svcs: GEN, EN, OPT, ORP, UR HILLSBOROUGH COUNTY Brandon Brandon Ambulatory Surgery Center, L.C.* 7363750, 2972638 514 Eichenfeld Drive Phone: 813-571-7088 / Fax: 813-864-9456 Hours: M-F 7:00 am - 5:00 pm Svcs: GEN, EN, OPT, ORP, UR, Pain Mgmt Outpatient Surgery Center, Inc.* 7674707, 1842889 Brandon Outpatient Surgery Center 201 Noland Drive, Suite B Phone: 813-684-7246 / Fax: 813-684-5031 Riverview Bay Area Physicians Surgery Center* 7252894, 4062855 6043 Winthrop Commerce Avenue, 1 Floor Riverview, FL 33578 Phone: 813-699-1200 / Fax: 813-699-1201 Hours: M-F 8:00 AM to 5:00 PM Svcs: GEN, Pain Mgmt, Ent Tampa Seascape Surgery Center, 9570452, 9763044 5379 Primrose Lake Circle Tampa, FL 33647 Phone: 813-977-2040 / Fax: 813-977-3886 Svcs: Derm & Reconstructive GEN - General Surgery EN - Endoscopy INF - Infertility LT - Lithotripsy OPT - Opthalmology ORP - Orthopedics BA - Bariatric UR - Urology 1 of 1

Aetna "Select Provider" Listing - Ambulatory Surgery Tampa Bay Endoscopy Center* 7890619, 4772540 4809 North Armenia Avenue, Suite 100 Tampa, FL 33603 Phone: 813-872-9310 / Fax: 813-872-9311 Hours: M-F 5:30 am - 5:00 pm Tampa Bay Surgery Center* 8720053, 3881214 11811 North Dale Mabry Hwy. Tampa, FL 33618 Phone: 813-961-8500 / Fax: 813-968-6818 Hours: M-F 6:30 am - 5:00 pm Svcs: GEN, INF, LT, OPT, ORP, UR, Pain Mgmt, Plastic, Podiatric 8720053, 4650860 2727 Martin Luther King Blvd. Tampa, FL 33607 Phone: 813-961-8500 / Fax: 813-968-6818 Hours: M-F 6:30 am to 5:00 pm Svcs: GEN, OPT, ORP, UR, Pain Mgmt, Plastic, Podiatric 8720053, 1821100 2727 Martin Luther King Blvd., Suite 100 Tampa, FL 33607 Phone: 813-961-8500 Tampa Outpatient Surgical Facility 8202490, 126064 5013 North Armenia Avenue Tampa, FL 33603 Phone: 813-875-0562 / Fax: 813-871-5236 Svcs: GEN, INF, Plastic Tampa Surgery Center, 9728544, 5253667 13904 North Dale Mabry Hwy., Suite 100 Tampa, FL 33618 Phone: 813-968-3937 / Fax: 813-908-2133 LEE COUNTY Bonita Springs Bonita Community Health Center* 7890836, 5671409 3501 Health Center Blvd. Bonita Springs, FL 34135 Phone: 239-949-6109 Svcs: GEN, EN, OPT, ORP, ENT, Plastic, GYN Cape Coral Cape Coral Surgery Center* 7643806, 5953708 2721 Del Prado Blvd. South, Suite 100 Cape Coral, FL 33904 Phone: 239-242-8010 / Fax: 239-242-8020 Hours: M - F 8:00 am to 5:00 pm, OPT, ORP, BA, UR, Podiatric, Plastic Oral, Endo Fort Myers Barkley Surgicenter Inc 8720114, 9150746 63 Barkley Circle, Suite 104 Fort Myers, FL 33907 Phone: 239-275-8882 / Fax: 239-275-1969 Hours: M-F 6:30 am - 5:00 pm Fort Myers Digestive Health & Pain, ASC, L.L.C. 7033228, 550054 12700 Creekside Lane, Suite 202 Phone: 239-768-2800 Hours: M-Th 8:00 am to 5:00 pm, Pain Mgmt Gulf Coast Endoscopy Center South* 8205025, 8091277 7152 Coca Sabal Lane Fort Myers, FL 33908 Phone: 239-985-0215 / Fax: 239-985-0394 Hours: M-F 7:30 am - 4:00 pm Lee Island Coast Surgery Center* 8203105, 93943 4035 Evans Avenue Fort Myers, FL 33901 Phone: 239-939-7375 / Fax: 239-275-5248 Hours: M-F 6:00 am - 5:00 pm Svcs: GEN, EN, LT, OPT, ORP, UR, Pain Mgmt, Plastic, Podiatric Riverwalk Endoscopy and Surgery Center, LLC 7086729, 780767 8380 Riverwalk Park Blvd., Suite 220 Phone: 239-454-7544 / Fax: 239-561-1124 Hours: M-F 6:00 am - 4:00 pm St John's Surgery Center* 5429009, 850099 8901 Conference Drive Phone: 239-481-8833 Hours: M-F 7:00 am - 3:00 pm Svcs: OPT St. Mark's Surgical Center* 9844090, 5062924 6820 International Center Blvd. Fort Myers, FL 33912 Phone: 239-210-0301 / Fax: 239-210-0311 Suncoast Surgery Center, 7326108, 8631391 12371 New Brittany Blvd., Suite C Fort Myers, FL 33907 Phone: 239-791-2273 / Fax: 239-790-0375 Svcs: OPT SurgiCare Center* 5380104, 524300 4101 Evans Avenue Fort Myers, FL 33901 Phone: 239-939-3456 Svcs: OPT MANATEE COUNTY Bradenton Bradenton Surgery Center 5439086, 5510871 2902 59th Street West, Suite F Phone: 941-792-1430 / Fax: 941-757-1377 Manatee Surgical Center, Inc.* 7331070, 6602666 601 Manatee Avenue West Bradenton, FL 34205 Phone: 941-745-2727 Hours: M-F 6:00 am - 5:00 pm Svcs: GEN, OPT, ORP, UR, Pain Mgmt; Plastic, Onc, Neuro, Podiatric West Florida Surgery Center, Inc.* 7169309, 394555 5817 21st Avenue West Phone: 941-794-0379 / Fax: 941-798-8905 Hours: M W Th Fri 8:00 to 5:00 Svcs: GEN PASCO COUNTY Holiday Holiday Surgery Center 4456846, 802405 1109 U.s. Hwy. 19, Suite B Holiday, FL 34691 Phone: 727-934-5705 Hours: M-F 7:30 am - 4:00 pm Svcs: OPT New Port Richey Bardmoor Outpatient Center* 7582084, 5121391 2102 Trinity Oaks Blvd. New Port Richey, FL 34655 Phone: 727-734-6288 Hours: M-F 8:00 pm to 5:00 am Svcs: GEN, OPT, ORP, UR, Ent, Pain Mgmt, Podiatric, Plastic, GYN Meadow Lane Surgery Center 5197691, 5413444 5652 Meadowlane Street, Suite A New Port Richey, FL 34652 Phone: 727-842-9561 Hours: M-F 7:00 am to 5:00 pm Svcs: ORP, Podriatric, Pain Mgmt Seven Springs Surgery Center 8207106, 5591440 2024 Seven Springs Blvd. New Port Richey, FL 34655 Phone: 727-376-7000 / Fax: 727-372-1972 Hours: M-F 7:00 am - 5:00 pm, OPT, Pain Mgmt, Plastic GEN - General Surgery EN - Endoscopy INF - Infertility LT - Lithotripsy OPT - Opthalmology ORP - Orthopedics BA - Bariatric UR - Urology 2 of 2

Aetna "Select Provider" Listing - Ambulatory Surgery Trinity Surgery Center, L.L.C.* 5583573, 7072067 2102 Trinity Oaks Blvd New Port Richey, FL 34655 Phone: 727-372-4055 / Fax: 727-372-4066 Hours: M-F 6:00 am - 4:00 pm Svcs: GEN, EN, OPT, ORP, UR, Pain Mgmt; Plastic, Gyn, ENT, Podiatric Zephyrhills Same Day Surgery Center* 9698083, 4453088 6733 Gall Blvd. Zephyrhills, FL 33542 Phone: 813-783-8242 / Fax: 813-783-8240 Svcs: OPT PINELLAS COUNTY Clearwater Clearwater Endoscopy Center* 5425086, 9070202 401 Corbett Street, Suite 220 Clearwater, FL 33756 Phone: 727-443-0100 / Fax: 727-461-4893 Hours: M-F 7:00 am - 3:00 pm C-Med Ambulatory Surgery Center* 7782414, 4140881 2238 Drew Street Clearwater, FL 33765 Phone: 727-724-5653 / Fax: 727-465-5192 Svcs: Pain Mgmt Safety Harbor Surgery Center* 3280 North McMullen Booth Clearwater, FL 33761 Phone: 727-787-3000 / Fax: 727-787-3008 Hours: M-F 7:00 am 5:00 pm Svcs: GEN, OPT, ORP, GE West Coast Endoscopy Center* 7337369, 9771503 616 E Street Clearwater, FL 33756 Phone: 727-447-0888 / Fax: 727-447-0993 Hours: M-F 7:00 am - 4:00 pm Largo Bardmoor Outpatient Center* 7582084, 720886 8787 Bryan Dairy Road Largo, FL 33777 Phone: 727-394-5900 / Fax: 737-394-5170 Hours: M-F 6:00 am - 6:00 pm Svcs: GEN, EN, OPT, ORP, UR, Pain Mgmt, Plastic, Podiatric Largo Ambulatory Surgery Center, L.L.C.* 7150426, 3531885 148 13th Street Southwest Largo, FL 33770 Phone: 727-450-3030 / Fax: 727-450-3031 Hours: M-F 6:30 am to 5:00 pm Svcs: OPT Largo Endoscopy Ctr dba Tampa Bay Reg. Surg Ctr* 7970514, 8402048 7300 Bryan Dairy Road, Suite 495 Largo, FL 33777 Phone: 727-451-6780 / Fax: 727-451-6799 Hours: M-F 7:00 am - 5:00 pm Svcs: GEN, EN, Plastic, Podiatric West Bay Surgery Center* 8201745, 3060687 1401 West Bay Drive Largo, FL 33770 Phone: 727-585-9500 / Fax: 727-584-1938 Hours: M-F 6:00 am - 5:00 pm Svcs: GEN, EN, OPT, ORP, UR, Gynecologic, Plastic, Podiatric Pinellas Park Tampa Bay Specialty Surgery Center, 7678507, 4991807 6500 66th Street Phone: 727-347-1286 / Fax: 727-345-3084 Hours: M-F 6:00 am to 5:00 pm Svcs: GEN, EN, ORP, UR, Pain Mgmt, Gyn West Park Surgery Center, 7863702, 7883050 6640 78th Avenue, Suite B Phone: 727-518-8660 / Fax: 727-518-8662 Hours: M-F 6:30 am - 5:00 pm Svcs: GEN, EN, OPT, ORP, UR St. Petersburg Bay Area Endoscopy and Surgery Center 4475268, 6280552 5771 49th Street North St. Petersburg, FL 33709 Phone: 727-528-2261 Hours: M-F 6:30 am - 5:00 pm Bayfront Same Day Surgery Center 4665308, 9771710 603 7th Street South, 2nd Floor St. Petersburg, FL 33701 Phone: 727-823-1234 Hours: M-F 6:30 am - 4:30 pm Svcs: GEN, EN, INF, OPT, ORP, UR, Plastic, Ent Carillon Surgery Center, 9795258, 1401751 900 Carillon Pkwy. St. Petersburg, FL 33716 Phone: 727-556-2662 / Fax: 727-561-9865 Hours: M- F 8:00 am - 5:00 pm Svcs: GEN, EN, ORP, UR, Plastic, Pain Mgmt, Pasadena Surgery Center, L.L.C* 9951101, 5283111 6945 1st Avenue South St. Petersburg, FL 33707 Phone: 727-302-9200 Hours: M-F 8:00 a.m. - 5:00 p.m. Svcs: GEN, OPT, ORP St. Anthony's Physician Surgery Center* 7935828, 2022778 705 16th Street North St. Petersburg, FL 33705 Phone: 727-550-4500 / Fax: 727-550-4501 Hours: M-F 6:30-5:00 pm Svcs: GEN, EN, OPT, ORP, BA, UR, GYN POLK COUNTY Lakeland Lakeland Surgical and Diagnostic Center, LLP* 5387437, 1900592 1315 North Florida Avenue Lakeland, FL 33805 Phone: 863-683-2268 Hours: M-F 7:00 am to 7:00 pm Svcs: GEN, EN, OPT, ORP, UR, Breast; GYN; Pain Mgmt; Plastic Surg; Podiatric 5387437, 5123418 818 Griffin Road Lakeland, FL 33805 Phone: 863-683-2268 / Fax: 863-686-9873 Hours: M-F 7:00 am to 7:00 pm Svcs: GEN, EN, OPT, ORP, UR, Breast; GYN; Pain Mgmt; Plastic Surg; Podiatric Surgery Center of Lakeland Hills Blvd.* 7836714, 8142354 3340 Lakeland Hills Blvd. Lakeland, FL 33805 Phone: 863-682-3239 / Fax: 863-682-3462 Hours: M-F 6:00 am - 5:00 pm Winter Haven Winter Haven Ambulatory Surgical Center, L.L.C.* 5013617, 7870874 325 Avenue B Northwest Winter Haven, FL 33881 Phone: 863-291-4000 Svcs: GEN, EN, LT, ORP, UR, Gynecologic, Plastic, Podiatric, Pain Mgmt, Neuro SARASOTA COUNTY Englewood Gulf Comprehensive Surgery Center* 9737172, 923240 1750 Englewood Road Englewood, FL 34223 Phone: 941-681-3555 / Fax: 941-681-3574 Hours: M-F 7:00 am - 4:00 pm Sarasota Aescuiapian Surgery Center, 7262504, 1111876 3333 Cattlemen Road, Suite 100 Sarasota, FL 34232 Phone: 941-379-5884 / Fax: 941-379-1760 Hours: M-F 6:00 am - 5:00 pm Svcs: GEN, EN, ORP, UR, Pain Mgmt, Plastic, Podiatric, Ent GEN - General Surgery EN - Endoscopy INF - Infertility LT - Lithotripsy OPT - Opthalmology ORP - Orthopedics BA - Bariatric UR - Urology 3 of 3

Aetna "Select Provider" Listing - Ambulatory Surgery Cape Surgery Center 4541579, 186051 1941 Waldemere Street Sarasota, FL 34239 Phone: 941-917-1900 Hours: M-F 6:30 am - 5:00 pm Svcs: GEN, EN, LT, OPT, ORP, BA, UR, Pain Mgmt Center for Endoscopy, Inc. 7613441, 7251875 3325 Tamiami Trail, Suite 100 Sarasota, FL 34239 Phone: 941-552-3480 / Fax: 941-552-3485 Hours: M-F 7:00 am - 5:00 pm Coastal Medical Center 7988180, 7031373 1 South School Avenue Sarasota, FL 34237 Phone: 941-308-8500 / Fax: 941-309-7007 Hours: M-F 6:30 am - 4:30 pm Svcs: LT, UR Laser & Surgical Services at Center for Sight, 7895160, 3781432 2601 South Tamiami Trail Sarasota, FL 34239 Phone: 941-925-2020 / Fax: 941-330-2021 Svcs: OPT, Plastic, Derm Sarasota Physicians Surgical Center, 9925387, 8223553 3201 South Tamiami Trail Sarasota, FL 34239 Phone: 941-556-3515 / Fax: 941-556-3522 Hours: M-F 6:00 am to 5:00 pm Svcs: Ent, Plastic, Podiatic Venice Center of Surgical Excellence* 9447085, 9032920 8421 Pointe Loop Drive Venice, FL 34293 Phone: 941-412-2100 / Fax: 941-412-2160 Hours: M-F 7:00 am to 4:00 pm, Pain Mgmt Gulf Coast Endoscopy Center of Venice, 7534243, 3763060 1220 East Venice Avenue Venice, FL 34285 Phone: 941-484-5000 / Fax: 941-484-4414 Hours: M-F 7:30 am - 5:00 pm Note(s): Some ambulatory procedures require the physician to notify Aetna prior to performing services (e.g., colonoscopy and other scope procedures). These procedures were not used to determine this listing. GEN - General Surgery EN - Endoscopy INF - Infertility LT - Lithotripsy OPT - Opthalmology ORP - Orthopedics BA - Bariatric UR - Urology 4 of 4