yes, just apply smart.
i was in a similar situation and got into a top notch program, in a desirable city. and it wasn't based on my good looks, neither. = )
if you're not competitive, do yourself a favor and expand your application pool. once you start getting interviews, be prepared to explain why you got a bad score, but don't beat yourself up over it. the programs for whom your score is a big deal won't interview you; the programs that are still interested will allow you a chance.