Car has very loud engine noise / exhaust pipe issue? muffler issue?

Different people are going to jump different directions on problems like this. I am guessing an exhaust pipe on a Lexus is going to be expensive, right?

Yet, anything to do with the exhaust system can involve carbon monoxide entering the car, which is really ungood. I tend to jump the direction which says bit the bullet and fix the exhaust system correctly for your safety. Others may disagree.