The show is set in Indiana, and the title is trying to evoke the idea that this is a fun, "meat and potatoes" family sitcom that represents "middle" America (i.e. it's not New York, it's not California, it's not the South ... just the "Heartland").
Here's a "TV Tropes" link that can really do a better job answering your question than me: Flyover Country
I think there's also a secondary nod to the economic, "middle class" suburban community depicted on the show.
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