Med schools care about two main things: undergraduate GPA (mainly science GPA) and then MCAT score. Everything else is pretty much fluff. The ECs you do will help make your application more interesting to read. But if you don’t have the basic stats you won’t get in.
Keep up the good work on your grades. Study hard for the MCAT and you should be fine. Getting into a top tier medical school vs a local state school has almost no impact on your future prospects as a doctor. Most patients simply don’t care where their doctor went to medical school. As long as you are board certified and completed a residency it doesn’t matter.