Anthem has agreed to acquire Cigna in a $54 billion merger of health insurance giants.
The companies said that Anthem, Inc., a Blue Cross and Blue Shield insurer, would buy all of Cigna Corp.'s shares in a cash and stock transaction.
The latest step in a striking consolidation of the insurance industry would leave only three major players.
Earlier this month, Aetna struck a deal to buy Humana for $37 billion.
The third remaining health insurer is UnitedHealth.
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