I guess that depends on what exactly you consider as "low to medium." If at the cash register they ask whether any of the staff helped you with the purchase, it's likely that they get a commission for it. At least where I live, that will normally be the case in places where you can get someone to help you seriously.
(A typical example of such a store is J. Crew.)
Yesterday I attended a meetup where the discussion turned to fashion for a time (because apparently the mini-camp participants were given some instructions on fashion as a useful part of instrumental rationality). (Unfortunately none of us knew much about the topic so the discussion turned into "how can we find an expert to advise us for minimal cost?") It was mentioned that dressing "badly" can be a useful signalling device, and some examples were given. Here's an attempt at a more complete list of possible signals one might be sending by dressing "badly".
The idea here is, if you do decide to start dressing "well", know what you're giving up first. (Of course you're also giving up possibly implying that nobody taught you how to dress and you're not sufficiently strategic to have thought of learning it yourself. Or implying that you don't have the mental, financial, and/or social resources to keep up with fashion. A lot of signaling depends on what your audience already knows about you, or can infer from your other signals.) See also Yvain's related post, Why Real Men Wear Pink and comments there.