It's illegal to not have any type of insurance plan anymore, but even with insurance, out-of-pocket costs can be high. GOBankingRates.com recently conducted a study of all 50 states (plus the District of Columbia), taking a look at how much residents were paying for health insurance.

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The official ranking is out and brings terrible news if you live in New York state. The study found that New York had the highest health insurance plan of all. Nearby New Jersey also made the top 10 list of most expensive health insurance states, coming in at number five. See the official ranking here, in order of lowest health care costs to most expensive:

1. New Mexico
2. Utah
3. California
4. Texas
5. Pennsylvania 
6. Michigan
7. District of Columbia
8. Hawaii
9. Oregon
10. Idaho
11. Wisconsin
12. Connecticut
13. Arizona
14. Louisiana
15. Illinois
16. Kansas
17. Massachusetts
18. Minnesota
19. Virginia
20. Iowa
21. Nevada
22. New Hampshire
23. Maine
24. Kentucky
25. North Dakota
26. West Virginia
27. Washington
28. Ohio
29. Montana
30. Maryland
31. Arkansas
32. South Dakota
33. Rhode Island
34. Nebraska
35. North Carolina
36. Georgia
37. Florida
38. Alaska
39. Tennessee
40. Missouri
41. Colorado
42. Wyoming
43. Delaware
44. Indiana
45. Oklahoma
46. Mississippi
47. New Jersey
48. Alabama
49. South Carolina
50. Vermont
51. New York