This combo of file photos shows signage for health insurers Cigna Corp., and Anthem Inc. A federal appeals court on Friday, April 28, 2017, left in place a decision blocking Blue Cross-Blue Shield insurer Anthem's bid to buy rival Cigna, saying that a bigger company is not better for consumers.The 2-1 decision upholds a federal judge's ruling in February that said the proposed $48 billion acquisition would reduce competition in the concentrated insurance market. (AP Photo/File)
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