As we've built out the set of block types that we currently have, we've just added them to the grid. Here's what that currently looks like:

The Block Library UI (aka Inserter) itself will need a restructure as soon as we have more than ~12-15 blocks. For now, we should consider organizing them, either by how commonly used they are or by type:
Order based on the last usage data I've seen
- Paragraph
- Image
- Heading
- List
- Video
- Separator
- Quote
- Read More
- Page Break
Group them roughly by type (text, media, other)
- Paragraph
- Heading
- List
- Quote
- Image
- Video
- Separator
- Read More
- Page Break
My preference would be to take the second approach (group by content type), but I'm open to other suggestions.