Well, I'd start by never again saying things like "I am beyond in love with ortho"...
In all seriousness, as for the Midwest, there are a ton of programs in your district, and I wouldn't be quick to stratify between typically-academic university programs and community programs, since many of the latter produce outstanding (if not better) surgeons. Speaking towards Cali, that'll probably depend on which part of that state you're from, since many places stratify their lists in part on how likely the applicants are to stay in the area.
Your scores are good but put you in a middle-of-the-road area. Our (SEC) PD cuts-off at about 230, but it's a soft number and this is where letters from well-known guys will help you out a lot.
You should probably cast your nets wide for aways and test how you like the life at a typical academic program vs. a (usually-smaller) community program, ie you probably wouldn't gain much advantage to your rank list by rotating at both UM and OSU while you might find you prefer Kzoo (which is excellent, incidentally) to IU. For applications, you're probably looking at approximately 40-80 programs geographically centered around your medical school.
Just a few thoughts...
