My alt liver count is 93 my ast liver count is 40. What would be causing the alt to be high? Also should I be worried about the 93?

Your ast is high normal and your alt is above normal. This could be caused by medication....acetaminophen, or alcohol or even something you've eaten recently. That being said, it may also be caused by a fatty liver, cirrhosis, or hepatitis. Only your doctor can accurately interpret your lab results.