Whether health insurance rates under the Affordable Care Act will rise or fall is still a big unknown, as a recent congressional report made clear. Two large New Jersey insurers submitted widely divergent estimates for the future cost of insurance premiums -- one saying they could rise as much as 19 percent, another saying they could fall by up to 25 percent. In addition, one insurer said premiums for small businesses would rise by 16 percent. The costs were provided to Congress with the proviso that the estimates would remain anonymous.