24. North Dakota
Annual median wage: $257,410
Cost of living: 98.9
Employment: 40
North Dakota would probably have topped the list if only they had higher employment rates. The wages they offer to obstetricians and gynecologists ranks fifth in the country, and they have an ideal cost of living rates that do not even reach past the national average. When you earn well and have to spend so little for your living expenses, you can say you’ve hit the jackpot. If you have the means to put up a clinic in North Dakota, and a tolerance for snow, you’ll probably love being an OB-GYN there.