Hi lisag72, welcome to our community!
It looks like you have Lyme disease. Your IgM has positive response on Bands 23 (lyme specific) and 41.
I'm assuming you have symptoms - which is why you tested?
You should look for a LLMD and schedule an appointment. We can help you find one - just start a new thread titled: "Looking for LLMD in/near_____" and fill in the blank.
Also, you can use the ILADS Physician Referral system, here's the link:
ilads.org/ilads_media/physician-referral/ILADS = International Lyme and Associated Diseases Society.