You can use either cable at either -10 or +4.
Lets see if I can simplify this... yes I think I can... Both properties (balanced cables and +4 voltage) are used for the same purpose -- to ensure the highest fidelity of your audio signal from point A to point B, but they operate on different principles, so let's take them one at a time:
First, the issue of -10 or +4. What the higher voltage combats is "atenuation". This is the natural attribute of the audio signal to diminish in voltage the further it has to travel. As the signal attenuates the ratio of noise to signal increases, however, if you start out with more voltage (+4 dB) the loss of signal is less of the overall ratio. For a real-world comparrison, consider that you and I each have different cars; your car has a 10 gallon tank and mine has a 20 gallon tank. If we each drive 5 miles, you have used half a tank, but I still have three quarters of a tank. The audio signal attenuation is like using petrol, so if you start with a "bigger tank" (+4 dB) you have more signal than noise when you get to the destination, as opposed to having a larger ratio of noise or "air" in your tank. Does that help it make sense?
Next, balanced cables. As you know, a balanced cable is nothing all that fancy -- it's just a 3 conductor cable, when you get down to it. To understand why the outer layer of conductor is important, you need to get your head around the concept of "induction". Do you have an electric toothbrush or razor that re-charges without any metal contact points? Have you ever made an electro-magnet or electric motor? All of these concepts rely upon induction, which is basically a method of transfering (by intent or chance) magnetic or electrical energy between conductors without them ever touching. Without getting too scientific, the basic principle of a balanced cable is that the third conductor attracts induced interference and routes it away from your audio equipment.
Phew!
I hope that helps!
-Shaz