Medicare and Medicaid, both public payers included in the Colorado All Payer Claims Database, have a more consistent payment structure across providers, so not as much price variation exists as with the commercial payers. The value of the Shop for Care tool is for patients with commercial or no insurance who have opportunities to save out of pocket costs and ultimately help drive down premiums. People with high deductible plans or no insurance are more likely to pay commercial insurance rates provided on the Shop for Care tool rather than Medicare or Medicaid rates.