I’m a big fan of the juxtaposition between old and new, and as such I’ve been considering a ceiling medallion for my home. I was thinking I could go with an old medallion with a new lighting fixture as seen on the left, or go with an entirely modern medallion, as seen on the right.
What I really like about the photo on the left is that the light fixture is exactly the same size as the medallion so they really create a nice effect. This photo was taken from a house I used to live in–the medallion came with the house, and the lighting fixture was about $20 from Target (no longer available). You can find a nice selection of medallions online, such as at Lamps Plus or CeilingMedallions.com.
The modern medallion is available here for $69.