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FILE - This combo of file photos shows signage for health insurers Cigna Corp., and Anthem Inc. Anthem is finally ending its soured, $48 billion bid to buy rival Cigna, but the nation's second-largest health insurer isn't giving up a fight over whether Cigna deserves a termination fee for the scrapped deal. Anthem says Cigna sabotaged the merger agreement and caused "massive damages" for Anthem, which provides Blue Cross-Blue Shield coverage in several states. (AP Photo/File)

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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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FILE - This Aug 4, 2011 file photo shows the Cigna logo at the headquarters of the health insurer Cigna Corp., in Philadelphia. Cigna said Tuesday, Feb. 14, 2017, that it is rejecting Anthem's proposed $48 billion acquisition bid and suing the Blue Cross-Blue Shield insurer. The announcement comes hours after another major insurer, Aetna, said it was abandoning its planned $34 billion purchase of Medicare Advantage provider Humana. (AP Photo/Matt Rourke, File)

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FILE - This Dec. 3, 2014, file photo, shows the Anthem logo at the company's corporate headquarters in Indianapolis. A federal judge on Wednesday, Feb. 8, 2017, rejected Anthem Inc.'s bid to buy rival health insurer Cigna Corp., saying the merger would likely lead to higher costs, less competition and diminished innovation. U.S. District Judge Amy Berman Jackson said the merger would significantly reduce competition in the already concentrated insurance market, particularly for large national employers. (AP Photo/Darron Cummings, File)

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FILE - In this Nov. 17, 2009 file photo, a pedestrian walks past the headquarters of the health insurer Cigna Corp. in in Philadelphia. A federal judge on Wednesday, Feb. 8, 2017, rejected Anthem Inc.'s bid to buy rival health insurer Cigna Corp., saying the merger would likely lead to higher costs, less competition and diminished innovation. U.S. District Judge Amy Berman Jackson said the merger would significantly reduce competition in the already concentrated insurance market, particularly for large national employers. (AP Photo/Matt Rourke, File)