Cigna logo on building Cigna announced last week that it would pay $54 billion for Express Scripts, the latest major move in the health care sector. (Photo: AP)

Industry reaction is mixed on whether Cigna Corp.'s $54 billion deal for Express Scripts would bring greater cost efficiencies or further limit competition and choice — and ultimately raise medical expenses for everyone.

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Katie Kuehner-Hebert

Katie Kuehner-Hebert is a freelance writer based in Running Springs, Calif. She has more than three decades of journalism experience, with particular expertise in employee benefits and other human resource topics.