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FILE - In this Feb. 9. 2006 file photo, a sign for the Aetna insurance is seen

FILE - In this Feb. 9. 2006 file photo, a sign for the Aetna insurance is seen in a Hartford, Conn. Health insurer Aetna Inc. said Thursday, Oct. 29, 2009, its third-quarter profit rose 18 percent on enrollment gains, but spiraling medical costs continued to hurt the company's core insurance business.(AP Photo/Douglas Healey, file)