Not in any particular order.
As 'Jay' said, all radios are not 'equal' in how they are built. Most can be made to produce 100% modulation, but, at the expense of producing lower power outputs. Which isn't all that bad if you think about it. Another 'catch' in that is that if you don't have the proper equipment to measure that 'modulation', AND the knowledge of how to do it, you have a much better chance of winning the lottery without buying a ticket. (Knowledge and equipment. One can counter balance the other a tiny bit, but that 'tiny' really is TINY.)
An additional "ground" wire connecting tool box, and chassis. If that tool box is properly tied/bolted to the truck bed, and if that bed is properly tied/connected to the truck's frame, any additional 'ground' connection is not only a waste of time/money, it can cause problems because of 'ground loops'. The 'cure' is worst than the 'problem' to start with. Sounds a lot like 'snake oil', doesn't it?
[Something to keep in mind is that RF is not DC. It's AC, and a 'ground' at AC ain't the same thing as a 'ground' at DC. Howz that for a 'nasty' thought??]
Output power amplifiers.
Very simply, no matter what the power output is increased to, they are illegal in the USA. making any significant changes in the transmitter of a CB radio in normal CB service, is illegal in the USA. That's just the way it is, it's called law/rules. Wanna do it "cuz I can!"? Knock yourself out with it! Just don't whine when you get caught, you know? "Can't do the time, then don't do the crime.", that fit's real nice and is simple to understand.
- 'Doc